Form Physical Therapy
- Total HCPs
- 4
- Therapists
- 4
- Practice locations
- 2
- Medicare Part B payments
- $20,257
Find the right contacts among 4 HCPs
Professional emails, personal emails and mobile numbers for Form Physical Therapy's buying committee, with a free Dmand AI account.
Form Physical Therapy is a single-specialty medical group with 2 practice locations in Michigan
Form Physical Therapy is based in Saint Clair Shores, Michigan, part of Form Physical Therapy.
Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; and Dmand AI Affiliation Data
Form Physical Therapy's NPI is 1750844619 and its PAC ID is 7517390156
- Primary NPI (Type 2)
- 1750844619NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7517390156
- Dmand ID
- NG-MGR-087108
- Medicare enrollment
- Enrolled (PAC ID on file)
- Main site address
- 22340 Harper Ave, Saint Clair Shores, MI 48080-1818
- Main phone
- (586) 330-0499
- Executive emails and mobiles
- Get contacts
- Group type
- Single-specialty
- Core specialty
- Rehabilitation and therapy
- Site structure
- Multi-site
- Ownership model
- Clinician owned
- Leadership
- Led by non-physicians
- Medicare Part B payments
- $20,257
- Legal name
- Form Physical Therapy LLC
Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Organization Profile Data; and Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data
Form Physical Therapy is part of Form Physical Therapy
Dmand AI places Form Physical Therapy under Form Physical Therapy, an independent practice.
- Form Physical Therapy
- Form Physical Therapy
Source: Dmand AI Org Hierarchy Data
Org hierarchy
See how Form Physical Therapy connects to Form Physical Therapy: its parent organizations, sister groups and every site of care in between, with the HCPs and leaders at each one.
Form Physical Therapy has 4 HCPs, all therapists
Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data
Form Physical Therapy has 2 practice locations in Michigan
Form Physical Therapy practice locations
Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Full footprint
Open all 2 practice locations with facility phones, patient visits and the HCPs at each site.
Form Physical Therapy is a rehabilitation and therapy group
Rehabilitation and therapy is Form Physical Therapy's core specialty, with physical therapist as its main practice type.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data
Dmand AI tracks the EHR at Form Physical Therapy
Vendor and product names for each practice location are available with a free account.
| Site | EHR vendor | Product |
|---|---|---|
| Main site | Available with a free account | Available with a free account |
| 1 other practice location | Available with a free account | Available with a free account |
Source: Dmand AI Technology Install Data
Rehabilitation and therapy groups in Michigan similar in size to Form Physical Therapy
These rehabilitation and therapy groups have the closest number of HCPs to Form Physical Therapy.
| Medical group | HCPs |
|---|---|
| Alternative RehabLivonia, MI | 5 |
| Care2Cure Physical TherapyDexter, MI | 5 |
| Chitter Chatter P.C.Dearborn, MI | 5 |
| DPT Physical TherapyBerkley, MI | 5 |
| Dynamic Movement And RecoveryGrand Rapids, MI | 5 |
Sources: Dmand AI Affiliation Data; and Dmand AI Peer Benchmarks
Sources for Form Physical Therapy data
| Data on this page | Source |
|---|---|
| NPI, PAC ID and address | NPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Dmand ID, phone, website, LinkedIn and group profile | Dmand AI Org Hierarchy DataDmand AI Organization Profile Data |
| Medicare Part B payments | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| Parent organizations and sister groups | Dmand AI Org Hierarchy Data |
| HCPs and physician specialties | NPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data |
| Specialty areas | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data |
| Practice locations and hospitals | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Similar groups | Dmand AI Affiliation DataDmand AI Peer Benchmarks |
| EHR vendors | Dmand AI Technology Install Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Form Physical Therapy
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Form Physical Therapy's NPI number?
Form Physical Therapy's primary NPI (Type 2) is 1750844619.
What is Form Physical Therapy's PAC ID?
Form Physical Therapy's Medicare PAC ID is 7517390156, which means the group is enrolled in Medicare.
How many locations does Form Physical Therapy have?
Dmand AI links Form Physical Therapy to 2 practice locations in Michigan. Its main site is at 22340 Harper Ave, Saint Clair Shores, MI 48080-1818.
What is Form Physical Therapy's phone number?
Form Physical Therapy's main phone number is (586) 330-0499.
Who owns Form Physical Therapy?
Dmand AI places Form Physical Therapy under Form Physical Therapy, an independent practice.
How many clinicians does Form Physical Therapy have?
Dmand AI links 4 HCPs to Form Physical Therapy.
What specialties does Form Physical Therapy cover?
Form Physical Therapy is a rehabilitation and therapy group.
How much does Form Physical Therapy receive from Medicare?
CMS data shows $20,257 in Medicare Part B payments to Form Physical Therapy.
Selling to rehabilitation and therapy groups?
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