Unknown Individual – Physical Therapist, NPI 1720455983

Unknown Individual is a healthcare provider. based in Clinton township, Michigan. specializing in Physical Therapist. The NPI Number for Unknown Individual is 1720455983

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720455983
Phone
(586) 350-2644
Address
33900 HARPER AVE
Deactivation Date
12 June 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 33900 HARPER AVE

    SUITE 104

    CLINTON TOWNSHIP, MI 48035

    Phone: (586) 350-2644

    Type: Mailing

  • 8317 OGDEN AVENUE

    LYONS, IL 60534

    Phone: (847) 818-0461

    Fax: (847) 305-2917

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48035)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1720455983 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Clinton Township, Michigan for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1720455983. Always confirm identity and privileges with the practice and licensing boards.

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