Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dynasty Physical Therpay and Rehabilitation, PC

Organization Physical Therapist · NPI 1902085418

Dynasty Physical Therpay and Rehabilitation, PC provides Physical Therapist services in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3800 Woodward Ave Ste 1100
Detroit, MI 48201-2062 Not confirmed with CMS for 18 years — call before visiting
Phone: (313) 832-8008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501011025 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 5201006743 (MI)

Record details

NPI number1902085418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tariq Siddiqi — Owner · (313) 832-8008
NPI enumeratedOctober 31, 2007
Last updated in NPPESOctober 31, 2007
Mailing address3800 Woodward Ave Ste 1100, Detroit, MI 48201-2062

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