Mmg 1pc
Mmg 1pc is a healthcare organization registered as Physical Therapist in Southfield, MI, holding Type 2 (organization) NPI 1972700607 since 2007. The authorized official on file is Geoffrey Trivax, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972700607 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mmg 1pc |
| Other name | <Unavail> |
| Practice address | 26400 W 12 MILE RD, SUITE 25, Southfield, MI, 48034 |
| Phone | 2488644444 |
| Fax | 2488644445 |
| Enumeration date | 2007-06-27 |
| Last updated in NPPES | 2018-09-20 |
Authorized official
| Name | Geoffrey Trivax |
|---|---|
| Title | President |
| Phone | 2483549666 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30044 | Other | MI | BLUE SHIELD |
Copy-ready billing details
Provider: Mmg 1pc NPI: 1972700607 Taxonomy: 225100000X (Physical Therapist) Address: 26400 W 12 MILE RD, SUITE 25, Southfield, MI, 48034
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366445173 | Lawrence Eilender | Individual | Neurology Physician | Southfield, MI |
| 1003819897 | Anthony Emmer | Individual | Neurology Physician | Southfield, MI |
| 1619970423 | William Leuchter | Individual | Neurology Physician | Southfield, MI |
| 1437156064 | Awoniyi Awonuga | Individual | Obstetrics & Gynecology Physician | Southfield, MI |
| 1346231214 | Steven Shumer | Individual | Dermatology Physician | Southfield, MI |
| 1144200270 | Marc Arnkoff | Individual | Urology Physician | Southfield, MI |
| 1336114503 | Lifetest Michigan LLC | Organization | Diagnostic Radiology Physician | Southfield, MI |
| 1467417592 | Danita Akingba | Individual | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | Southfield, MI |
Verify this record
Cross-check NPI 1972700607 against the authoritative CMS record: view Mmg 1pc on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What type of organization is Mmg 1pc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2018-09-20.