Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Form Physical Therapy, LLC

Q: What type of organization is Form Physical Therapy, LLC?

Form Physical Therapy, LLC is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).

Physical Therapy Clinic/Center in Saint Clair Shores, MI · enumerated 2019 · authorized official Kelly Delind, Physical Therapist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750844619

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Form Physical Therapy, LLC

Practice address 22340 Harper Ave, Saint Clair Shores, MI, 48080

Phone (586) 330-0499

Enumeration date Apr 8, 2019

Last updated in NPPES Apr 8, 2019

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kelly Delind

Title Physical Therapist

Phone (248) 860-1329

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Form Physical Therapy, LLC?

Form Physical Therapy, LLC is registered in NPPES as a Physical Therapy Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-08.