CENTER FOR PHYSICAL MEDICINE AND REHABILITATION PC (NPI# 1053595199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053595199 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PHYSICAL MEDICINE AND REHABILITATION PC |
| Other Organization Name | COMPLETE ORTHOTICS |
| Practice Address |
13850 E 12 Mile Rd Ste 2-b Warren MI 48088-3730 |
| Mailing 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 | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Authorized Official Name | ROBERT ALAN KRASNICK (PRESIDENT) |
| Authorized Official Telephone | 5865524499 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 540E020680 | 01 |
| Other Name | Type Code |
|---|---|
| Complete Orthotics | Doing Business As Name - Organization |
| Street Address |
13850 E 12 MILE RD STE 2-B |
| 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 |
| 1982883625 | Medical Resource Group | Prosthetic/Orthotic Supplier | 13850 E 12 Mile Rd, Ste 2-b, Warren, MI 48088-3730 | 2007-10-30 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1831689405 | Rivana Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 4208 E 14 Mile Rd, Warren, MI 48092-4325 | 2018-05-18 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1134629496 | Homepro Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3200 E 12 Mile Rd Ste 203b, Warren, MI 48092-5621 | 2018-02-13 |
| 1538668272 | American Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 3200 E 12 Mile Rd Ste 200, Warren, MI 48092-5621 | 2018-02-08 |
| 1053834762 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 28800 Ryan Rd Ste 325, Warren, MI 48092-4283 | 2017-07-25 |
| 1255737235 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 150 E Market St Ste 100, Warren, OH 44481-1141 | 2014-11-18 |
| 1801226063 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 29176 Van Dyke Ave, Warren, MI 48093-6764 | 2013-11-25 |
| 1780019463 | J M Clemente Co | Durable Medical Equipment & Medical Supplies | 180 N Park Ave, Warren, OH 44481-1126 | 2013-09-12 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on CENTER FOR PHYSICAL MEDICINE AND REHABILITATION PC.
| 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.