ELITE MEDICAL AND REHABILITATION GROUP (NPI# 1194135798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194135798 |
Entity Type | Organization |
Organization Name | ELITE MEDICAL AND REHABILITATION GROUP |
Practice Address |
30500 Northwestern Hwy Ste 316c Farmington Hills MI 48334-3178 |
Practice Telephone | 2485398781 |
Enumeration Date | 2014-05-05 |
Last Update Date | 2014-05-05 |
Authorized Official Name | BORIS BERKOVICH (MANAGER) |
Authorized Official Telephone | 2485398781 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5501015068 | MI | Ambulatory Health Care Facilities |
Street Address |
30500 NORTHWESTERN HWY STE 316C |
City | FARMINGTON HILLS |
State | MI |
Zip Code | 48334-3178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083632277 | Richard Sills | Internal Medicine | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3159 | 2006-07-17 |
1740890326 | Lana Trifanova | Social Worker | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3178 | 2020-08-07 |
1477969533 | Vladislav Vishovski Dayan | Physical Therapist | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3178 | 2014-07-09 |
1326288853 | Advance Diagnostics Corporation | Physiological Laboratory | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3178 | 2009-02-24 |
1275789166 | Valery Alexandrov | Family Medicine | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3178 | 2008-08-12 |
1508877945 | Miracle Therapy & Massage Center Inc. | Physical Therapist | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3159 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
Find all providers in zip 48334 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235696063 | Heavenly Hands Physical Therapy LLC | Clinic/Center | 33228 W 12 Mile Rd # 258, Farmington Hills, MI 48334-3309 | 2019-02-28 |
1346776663 | Life Care Physical Therapy & Rehab Center Inc | Clinic/Center | 30018 Orchard Lake Rd, Suite A, Farmington Hills, MI 48334-2252 | 2017-05-05 |
1255673133 | Image Therapeutic Care LLC | Clinic/Center | 25740 Arden Park Dr, Farmington Hills, MI 48336-1622 | 2013-03-19 |
1013131556 | Advanced Rehabilitation Clinic, Inc. | Clinic/Center | 33466 W 8 Mile Rd Ste 111, Farmington Hills, MI 48335-5208 | 2007-04-13 |
1306995485 | Arc Therapy Services LLC | Clinic/Center | 36550 Grand River Ave, Farmington Hills, MI 48335-3064 | 2007-01-09 |
1871065714 | Mak Physical Therapy | Clinic/Center | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334 | 2018-12-17 |
1396222774 | Pinnacle Integrative Behavioral Health LLC | Clinic/Center | 33466 W 8 Mile Rd, Farmington Hills, MI 48335-5208 | 2018-07-27 |
1427591239 | Apex Physical Therapy Services, LLC | Clinic/Center | 21111 Middlebelt Rd, D, Farmington Hills, MI 48336 | 2016-11-28 |
1215385406 | Forma Rehabilitation, Inc | Clinic/Center | 24100 Drake Rd, Ste B, Farmington Hills, MI 48335 | 2016-05-27 |
1225421696 | Optimum Health, P.C. | Clinic/Center | 33466 W 8 Mile Rd, Suite 111, Farmington Hills, MI 48335-5208 | 2015-03-10 |
Find all providers in FARMINGTON HILLS |
City | FARMINGTON HILLS |
Zip Code | 48334 |
Please comment or provide details below to improve the information on ELITE MEDICAL AND REHABILITATION GROUP.
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.