FORMA REHABILITATION, INC (NPI# 1215385406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215385406 |
| Entity Type | Organization |
| Organization Name | FORMA REHABILITATION, INC |
| Practice Address |
24100 Drake Rd Ste B Farmington Hills MI 48335 |
| Mailing Address |
28104 Orchard Lake Rd Suite 110 Farmington Hills MI 48334-3701 |
| Practice Telephone | 2484719414 |
| Practice Fax Number | 2484425012 |
| Mailing Telephone | 2485399278 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | BRYAN GENRICH (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2488627760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
24100 DRAKE RD STE B |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720199367 | Solomon L Cogan | Chiropractor | 24100 Drake Rd, Farmington Hills, MI 48335-3155 | 2006-08-31 |
| 1821473778 | Kristine Kempl | Occupational Therapist | 24100 Drake Rd, Ste B, Farmington Hills, MI 48335-3155 | 2015-07-21 |
| 1285029918 | Karen Orlandoni | Occupational Therapist | 24100 Drake Rd, Suite B, Farmington Hills, MI 48335-3155 | 2015-03-31 |
| 1295160174 | Craig Andrew Dobek | Chiropractor | 24100 Drake Rd, Farmington Hills, MI 48335-3155 | 2013-09-10 |
| 1922430362 | Denise K Navarro | Physical Therapist | 24100 Drake Rd, Suite B, Farmington Hills, MI 48335-3155 | 2013-08-08 |
| 1356624241 | Michael William Mckellar | Chiropractor | 24100 Drake Rd, Farmington Hills, MI 48335-3155 | 2011-09-27 |
| 1922389154 | Mark D Campbell | Chiropractor | 24100 Drake Rd, Farmington Hills, MI 48335-3155 | 2011-09-01 |
| 1649573452 | First Occupational, LLC | Clinic/Center | 24100 Drake Rd, Ste B, Farmington Hills, MI 48335-3155 | 2010-12-16 |
| 1285942136 | Keith Joseph Guthrie | Chiropractor | 24100 Drake Rd, Farmington Hills, MI 48335-3155 | 2010-09-14 |
| 1154553394 | Andrea Samantha Madhere | Chiropractor | 24100 Drake Rd, Farmington Hills, MI 48335-3155 | 2009-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093374928 | Truth Home Healthcare | Home Health | 39248 Polo Club Dr. Apt 104, Farmington Hills, MI 48335 | 2019-06-13 |
| 1023677424 | Ashly Cyriac | Optometrist | 21625 Green Hill Rd, Farmington Hills, MI 48335 | 2019-06-10 |
| 1326531419 | Roslee Urey Sole Mbr | Home Infusion | 22934 Buckingham Dr., Farmington Hills, MI 48335 | 2018-06-13 |
| 1063920981 | Pioneer Pharmacy Services LLC | Pharmacy | 24615-24617 Halsted Rd, Farmington Hills, MI 48335 | 2018-01-12 |
| 1548702764 | Nimerdeep K Brar | Dentist | 35745 N Grandview Ct, #30101, Farmington Hills, MI 48335 | 2016-11-07 |
| 1225489784 | Marc Peter Goulet | Emergency Medicine | 37000 Grand River Ave Ste 310, Farmington Hills, MI 48335 | 2016-06-27 |
| 1649693284 | Farmington Family Dental Pllc | Dentist | 34405 Grand River, Farmington, MI 48335 | 2014-02-03 |
| 1912283565 | Silva Dilliwal | Physical Therapist | 24100 Drake Rd Suite B, Therapy Unlimited, Farmington, MI 48335 | 2011-10-27 |
| 1952554040 | Aaron Michael Shepherd | Psychologist | 38345 West 10 Mile Road Suite 150, Farmington, MI 48335 | 2008-11-03 |
| 1619155298 | Ksa Consulting LLC | Home Health | 37000 Grand River Ave, Suite 370, Farmington Hills, MI 48335 | 2008-02-05 |
| Find all providers in zip 48335 | ||||
| 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 |
| 1225421696 | Optimum Health, P.C. | Clinic/Center | 33466 W 8 Mile Rd, Suite 111, Farmington Hills, MI 48335-5208 | 2015-03-10 |
| 1194135798 | Elite Medical and Rehabilitation Group | Clinic/Center | 30500 Northwestern Hwy Ste 316c, Farmington Hills, MI 48334-3178 | 2014-05-05 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48335 |
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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.