CARDIO PULMONARY REHABILITATION OF CLINTON TWP, PLLC (NPI# 1205965340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205965340 |
| Entity Type | Organization |
| Organization Name | CARDIO PULMONARY REHABILITATION OF CLINTON TWP, PLLC |
| Practice Address |
15930 19 Mile Rd Clinton Township MI 48038-1155 |
| Practice Telephone | 5862862350 |
| Mailing Telephone | 5862862350 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ANTHONY DEFEO (OWNER) |
| Authorized Official Telephone | 5862862350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0404X |
Clinic/Center Specialization: Rehabilitation, Cardiac Facilities |
Ambulatory Health Care Facilities |
| Street Address |
15930 19 MILE RD |
| City | CLINTON TOWNSHIP |
| State | MI |
| Zip Code | 48038-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804195 | Tiffannee Monique Adams | Behavior Technician | 15930 19 Mile Rd, Clinton Township, MI 48038-1155 | 2018-06-13 |
| 1902310204 | Alissa Ann Roznowski | Behavior Technician | 15930 19 Mile Rd, Clinton Township, MI 48038-1155 | 2017-11-22 |
| 1184159840 | Lisa Vancleve | Behavior Technician | 15930 19 Mile Rd, Bldg. 200, Suite 150, Clinton Township, MI 48038-1155 | 2017-05-01 |
| 1821539065 | Cailin Toth | Behavior Technician | 15930 19 Mile Rd, Bldg 200, Suite 150, Clinton Township, MI 48038-1155 | 2017-03-20 |
| 1992245229 | Sarah Aiello | Behavior Technician | 15930 19 Mile Rd, Building 200, Suite 150, Clinton Township, MI 48038-1155 | 2017-03-06 |
| 1184164410 | Caitlin Schneider | Behavior Technician | 15930 19 Mile Rd, 200 Suite 150, Clinton Township, MI 48038-1155 | 2017-03-06 |
| 1730635848 | Samantha Pytleski | Technician, Other | 15930 19 Mile Rd, Building 200, Suite 150, Clinton Township, MI 48038-1155 | 2016-08-29 |
| 1043662232 | Hayley Wasserman | Technician, Other | 15930 19 Mile Rd, Bldg 200, Suite 150, Clinton Township, MI 48038-1155 | 2016-07-12 |
| 1962892935 | Tauren Keels | Technician, Other | 15930 19 Mile Rd, Ste 201, Clinton Township, MI 48038-1155 | 2015-01-29 |
| 1003227448 | Amanda Goodell | Behavior Technician | 15930 19 Mile Rd, Suite 150, Clinton Township, MI 48038-1155 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| Taxonomy Code | 261QR0404X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Cardiac Facilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549056 | Advanced Cardiovascular Clinic PC | Clinic/Center | 6122 W Pierson Rd Unit 1, Flushing, MI 48433-3104 | 2019-10-10 |
| 1093351009 | Advanced Cardiology Associates, PC | Clinic/Center | 645 Barclay Cir, Rochester Hills, MI 48307-5804 | 2019-11-25 |
| 1548731672 | Metropolitan Hospital | Clinic/Center | 2122 Health Dr Sw Ste 133, Wyoming, MI 49519-9698 | 2018-12-16 |
| 1457834657 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-13 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| City | CLINTON TOWNSHIP |
| Zip Code | 48038 |
Please comment or provide details below to improve the information on CARDIO PULMONARY REHABILITATION OF CLINTON TWP, PLLC.
| 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.