MOMENTUM REHAB LLC (NPI# 1295125250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295125250 |
| Entity Type | Organization |
| Organization Name | MOMENTUM REHAB LLC |
| Practice Address |
7926 Ann Arbor St Dexter MI 48130-1344 |
| Mailing Address |
8838 Hendricks Dr Brighton MI 48116-9111 |
| Practice Telephone | 7343202497 |
| Mailing Telephone | 7343202497 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | DR. TERRY L BRACISZEWSKI (DIRECTOR) |
| Authorized Official Telephone | 7343202497 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6301006431 | MI | Ambulatory Health Care Facilities |
| Street Address |
7926 ANN ARBOR ST |
| City | DEXTER |
| State | MI |
| Zip Code | 48130-1344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386656023 | Terry L Braciszewski | Psychologist | 7926 Ann Arbor St, Dexter, MI 48130-1344 | 2006-08-12 |
| 1730308115 | Momentum Rehabilitation Services, Inc. | Psychologist | 7926 Ann Arbor St, Dexter, MI 48130-1344 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497585 | Julie Anne Bumpus X | Nurse Practitioner | 4848 Gregory, Dexter, MI 48130 | 2018-08-15 |
| 1255726592 | Alliance for Hope and Healing | Psychologist | 8005 Main St., Dexter, MI 48130 | 2015-04-03 |
| 1588979926 | Beata Malgorzata Jagoda-ohman | Physical Therapist | 7057 Dexter-ann Arbor Rd, Dexter, MI 48130 | 2010-08-10 |
| 1639317514 | Thrive Chiropractic Dexter P.C. | Preferred Provider Organization | 3219 Broad St, Suite 106, Dexter, MI 48130 | 2009-01-30 |
| 1083888622 | Alan Stephen Boyce | Chiropractor | 3151 Baker Rd, Dexter, MI 48130 | 2008-04-15 |
| 1720200785 | Brenda Denise Eisele | Speech-Language Pathologist | 3630 Noble Drive, Dexter, MI 48130 | 2007-05-02 |
| 1104041649 | Robert Joseph Turck | Dentist | 3060 Baker Rd, Dexter, MI 48130 | 2007-04-17 |
| 1073647343 | Amy Alexandra Whitney | Pharmacist | 7080 Dexter- Ann Arbor Rd, Dexter, MI 48130 | 2007-03-16 |
| 1457481442 | John Douglas Higgins | Audiologist | 7900 W Huron River Dr, Dexter, MI 48130 | 2007-03-07 |
| 1235264425 | Boyce Dc Pllc | Chiropractor | 3151 Baker Road, Dexter, MI 48130 | 2007-02-21 |
| Find all providers in zip 48130 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.