ROMMEL PATRICK BROWN CADORNA (NPI# 1336705516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336705516 |
Entity Type | Individual |
Full Name | ROMMEL PATRICK BROWN CADORNA |
Credential | RPT |
Practice Address |
3999 Venoy Rd Wayne MI 48184-1485 |
Mailing Address |
49872 Alden Canton MI 48188-2869 |
Practice Telephone | 7347270440 |
Mailing Telephone | 7342198740 |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-05-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
5501015130 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LARA , STATE OF MICHIGAN | 5501015130 | 01 |
Street Address |
3999 VENOY RD |
City | WAYNE |
State | MI |
Zip Code | 48184-1485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053306019 | Maple Manor Rehabilitation Center LLC | Skilled Nursing Facility | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2005-09-15 |
1538711833 | Andrea Denise Limjoco | Physical Therapist | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-07-16 |
1902467285 | Mariela Louise Aguas Paras | Physical Medicine & Rehabilitation | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-06-26 |
1417513409 | Stephen Ndukwe | Physical Medicine & Rehabilitation | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-05-15 |
1407412497 | Loretta Ann Sumner | Occupational Therapy Assistant | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-05-15 |
1295391282 | James Sauer | Physical Medicine & Rehabilitation | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-05-15 |
1184280133 | Steven Marc Banks | Occupational Therapist | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-05-15 |
1235795337 | Doreen Doplayna Papa | Physical Therapist | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-05-14 |
1134785371 | Paula Mcelmeel | Occupational Therapist | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-05-14 |
1184280331 | Emily Safah | Physical Therapy Assistant | 3999 Venoy Rd, Wayne, MI 48184-1485 | 2019-05-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
Find all providers in zip 48184 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487925467 | Geraldine Sanchez-marapao | Physical Therapist | 10 Farm View Ct, Wayne, NJ 07470-2535 | 2012-01-23 |
1861907289 | Brandon Frederick | Physical Therapist | 999 Old Eagle School Rd Ste 106, Wayne, PA 19087-1707 | 2017-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124652763 | Better Care Therapy Services LLC | Physical Therapist | 49872 Alden, Canton, MI 48188-2869 | 2020-02-22 |
1184196792 | Alicia Adams | Physical Therapist | 1690 Sweet Grass Dr Se, Caledonia, MI 49316-7309 | 2018-12-20 |
1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
1578062329 | Elizabeth Jean Ramey | Physical Therapist | 6567 Elwood Ct N, Allendale, MI 49401-8347 | 2018-02-07 |
1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
1831586510 | Nirupa Suvarna | Physical Therapist | 2210 Cora St, Apartment Number 8, Wyandotte, MI 48192-4348 | 2015-04-21 |
1215324991 | Jais Mathews | Physical Therapist | 44660 Midway Dr, Novi, MI 48375-3953 | 2015-04-21 |
1558783134 | Troy Westcott | Physical Therapist | 11655 Superior St, Mohawk, MI 49950-9539 | 2014-01-15 |
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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.