EDEWOR SPLENDID NANA PT
NPI 1639249931
Physical Therapist in Southfield, MI

Active since November 08, 2006
17500 NORTHLAND PARK CT STE 1, SOUTHFIELD, MI 48075(313) 388-7110(313) 388-7424 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edewor Splendid Nana Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEWOR SPLENDID NANA PT (NPI 1639249931) is an individual physical therapist in Southfield, Michigan, licensed in Michigan (5501006444) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1639249931
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameEDEWOR SPLENDID NANACredential: PT
Location Address17500 NORTHLAND PARK CT STE 1Southfield, MI 48075-4324
Mailing Address17500 Northland Park Ct Ste 1Southfield, MI 48075-4324 · (313) 388-7110 · Fax (313) 388-7424
Fax(313) 388-7424
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
NPI 1639249931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MI · 5501006444
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
17500 NORTHLAND PARK CT STE 1, Southfield, MI 48075

Other Identifiers 3

Other383588707Pponn
OtherP112871Bcbs
Medicaid4297616MI

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist (Orthopedic)
17500 NORTHLAND PARK CT STE 1
SOUTHFIELD, MI 48075

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edewor Nana's NPI number?

The NPI number for Edewor Nana is 1639249931. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Edewor Nana located?

Edewor Nana practices at 17500 Northland Park Ct Ste 1, Southfield, MI 48075. The listed phone number is (313) 388-7110.

What is Edewor Nana's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

What insurance does Edewor Nana accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Edewor Nana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edewor Nana was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.