FORM PHYSICAL THERAPY, LLC
NPI 1750844619
Clinic/Center - Physical Therapy in Saint Clair Shores, MI

Active since April 08, 2019
22340 HARPER AVE, SAINT CLAIR SHORES, MI 48080(586) 330-0499 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Form Physical Therapy, Llc NPPES

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

FORM PHYSICAL THERAPY, LLC (NPI 1750844619) is a healthcare organization registered as a physical therapy in Saint Clair Shores, Michigan and active in the NPI registry since April 2019. The organization lists Kelly Ann-trimmer Delind, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1750844619
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameFORM PHYSICAL THERAPY, LLC
Location Address22340 HARPER AVESaint Clair Shores, MI 48080-1818
Mailing Address22340 Harper AveSaint Clair Shores, MI 48080-1818 · (586) 330-0499
Organization SubpartNo
Authorized OfficialKelly Ann-trimmer DelindPhysical Therapist · (248) 860-1329
Enumeration DateApril 8, 2019
NPI 1750844619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
22340 HARPER AVE, Saint Clair Shores, MI 48080

Accepted Insurance

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 Form Physical Therapy, LLC's NPI number?

The NPI number for Form Physical Therapy, LLC is 1750844619. It was assigned to this organization in the NPPES registry on April 8, 2019.

Where is Form Physical Therapy, LLC located?

Form Physical Therapy, LLC is located at 22340 Harper Ave, Saint Clair Shores, MI 48080. The listed phone number is (586) 330-0499.

What is Form Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

What insurance does Form Physical Therapy, LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Form Physical Therapy, LLC 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 Form Physical Therapy, LLC was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.