CENTER FOR PHYSICAL MEDICINE AND REHABILITATION, P.C. (NPI# 1003993312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003993312 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PHYSICAL MEDICINE AND REHABILITATION, P.C. |
| Other Organization Name | TEAM WELLNESS |
| Practice Address |
13850 E 12 Mile Rd Warren MI 48088-3730 |
| Practice Telephone | 5865524499 |
| Practice Fax Number | 5865524878 |
| Mailing Telephone | 5865524499 |
| Mailing Fax Number | 5865524878 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | DANIEL RYAN (OWNER) |
| Authorized Official Telephone | 5865524499 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | MI | Suppliers | |
| Y | 174400000X | Specialist | MI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Team Wellness | Former Legal Business Name - Organization |
| Street Address |
13850 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48088-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730195231 | Daniel Martin Ryan | Physical Medicine & Rehabilitation | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2006-08-01 |
| 1922450428 | Justin David | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2016-07-07 |
| 1427456284 | Ann C Walker | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2014-12-10 |
| 1174939946 | Team Rehabilitation W2, LLC | Physical Therapist | 13850 E 12 Mile Rd, Ste 2a, Warren, MI 48088-3730 | 2014-07-01 |
| 1629406434 | Lauren Elizabeth Brush | Physician Assistant | 13850 E 12 Mile Rd, Warren, MI 48088-3730 | 2013-10-15 |
| 1336412923 | Nadine Marie Monteleone | Physical Therapy Assistant | 13850 E 12 Mile Rd, Suite 2a, Warren, MI 48088-3730 | 2012-02-14 |
| 1750608477 | Pros-tech, Inc. | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Suite 2b, Warren, MI 48088-3730 | 2010-04-21 |
| 1962651372 | Lakeesha Crouch | Physical Therapist | 13850 E 12 Mile Rd, # 2a, Warren, MI 48088-3730 | 2008-09-10 |
| 1790950459 | Center for Physical Medicine and Rehabilitiation | Durable Medical Equipment & Medical Supplies | 13850 E 12 Mile Rd, 2-b, Warren, MI 48088-3730 | 2008-04-24 |
| 1053595199 | Center for Physical Medicine and Rehabilitation PC | Durable Medical Equipment & Medical Supplies | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457980609 | Berkley Pharmacy LLC | Pharmacy | 28577 Schoenherr Road, Warren, MI 48088 | 2020-04-08 |
| 1023679099 | Jeff Lip | Counselor | 13253 Cromie Dr., Warren, MI 48088 | 2019-06-21 |
| 1306229877 | Medico Care LLC | Health Maintenance Organization | 31418 Schoenherr Rd #5, Warren, MI 48088 | 2015-07-02 |
| 1053728030 | Jane Kennedy Bays | Counselor | 30521 Schoenherr Rd Ste 200, Warren, MI 48088 | 2014-07-22 |
| 1114295490 | Ma Corazon E Marcaida-gorospe | Physical Therapist | 27472 Schoenherr Road, Warren, MI 48088 | 2011-12-01 |
| 1578869277 | Chiropractic Urgent Care, P.C. | Clinic/Center | 31500 Schoenherr Rd., Warren, MI 48088 | 2011-01-28 |
| 1396071361 | Colleen Janness | Physician Assistant | 13450 East 12 Mile Rd, Advanced Dermatology of Michigan, PC, Warren, MI 48088 | 2009-10-27 |
| 1225266075 | Pain Management Center | General Practice | 27472 Schoneherr, #130, Warren, MI 48088 | 2009-06-30 |
| 1447495809 | Denise Stys Marecki | Dietitian, Registered | 30061 Schoenherr Rd., Suite C, Warren, MI 48088 | 2008-12-12 |
| 1568640878 | James H. Aronovitz, Do Pllc | Otolaryngology | 27301 Schoenherr, 105, Warren, MI 48088 | 2008-02-08 |
| Find all providers in zip 48088 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1922512151 | Quality Revenue Services LLC | Specialist | 22815 Hillock Ave, Warren, MI 48089-5418 | 2017-11-27 |
| 1730441148 | Deborah Fixell | Specialist | 163 Town Hill Rd, Warren, CT 06754-1809 | 2012-06-12 |
| 1083991335 | Ashok K Aggarwal Md | Specialist | 4439 Mahoning Ave Nw Ste B, Warren, OH 44483-1975 | 2011-11-14 |
| 1447569447 | C Gary Loosli | Specialist | 57755 Old Portland Rd, Warren, OR 97053-9411 | 2010-09-25 |
| 1558680231 | International Healthcare of Nj | Specialist | 3 Tiffanys Way, Warren, NJ 07059 | 2010-05-20 |
| 1528236106 | Electrical Workers Joint Board of Trustees | Specialist | 2277 E 11 Mile Rd, Suite Number 2, Warren, MI 48092-5217 | 2008-02-15 |
| 1841492709 | Center for Weight Management | Specialist | 13355 E. Ten Mile Rd., Suite Chm, Warren, MI 48089-2065 | 2007-06-04 |
| 1205853215 | Jareer S Hmoud | Specialist | 13430 E 13 Mile Rd, Warren, MI 48088-3187 | 2006-07-16 |
| 1508819475 | Great Lakes Seniors PC | Specialist | 27500 Hoover Rd, Warren, MI 48093-4586 | 2006-05-19 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.