AVANTI REHAB GROUP (NPI# 1508175233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508175233 |
| Entity Type | Organization |
| Organization Name | AVANTI REHAB GROUP |
| Practice Address |
6079 W Maple Rd Suite 110-b West Bloomfield MI 48322-2283 |
| Practice Telephone | 2486262416 |
| Practice Fax Number | 2486263918 |
| Mailing Telephone | 2486262416 |
| Mailing Fax Number | 2486263918 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | JOSE EVANGELISTA (OWNER) |
| Authorized Official Telephone | 2486262416 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6079 W MAPLE RD SUITE 110-B |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-2283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457337529 | Nancy A. Salem | Obstetrics & Gynecology | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2005-12-20 |
| 1174086839 | Samantha N Sulzer | Nurse Practitioner | 6079 W Maple Rd, West Bloomfield, MI 48322-2283 | 2019-04-10 |
| 1477079481 | Rebecca Cherney | Nurse Practitioner | 6079 W Maple Rd, West Bloomfield, MI 48322-2283 | 2017-08-22 |
| 1235674714 | Jeffrey G Obron Pllc | Obstetrics & Gynecology | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2016-12-20 |
| 1831527175 | Medical Rehabilitation Physicians | Physician Assistant | 6079 W Maple Rd, #100b, West Bloomfield, MI 48322-2283 | 2013-10-24 |
| 1821422361 | Anna Kim Luong | Physician Assistant | 6079 W Maple Rd, West Bloomfield, MI 48322-2283 | 2013-08-31 |
| 1710233473 | West Bloomfield Prompt Care-pllc | Clinic/Center | 6079 W Maple Rd, Suite 130, West Bloomfield, MI 48322-2283 | 2012-07-31 |
| 1184919417 | Nms Obgyn Pllc | Clinic/Center | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2011-06-15 |
| 1306960828 | Stuart Alan Firsten | Chiropractor | 6079 W Maple Rd, #100b, West Bloomfield, MI 48322-2283 | 2007-03-19 |
| 1972533032 | Jeffrey G Obron | Obstetrics & Gynecology | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2006-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785205 | Lindsey Sayles | Rehabilitation Practitioner | 3115 Cascade Rd Se, Grand Rapids, MI 49506-1961 | 2019-02-04 |
| 1891274460 | Lindsey Elizabeth Mcbride | Rehabilitation Practitioner | 1570 E Beltline Ave Se, Grand Rapids, MI 49546-4446 | 2018-08-14 |
| 1003331752 | Restorative Outdoor Services LLC | Rehabilitation Practitioner | 6874 Wildwood Trl Sw, South Boardman, MI 49680-9588 | 2017-08-03 |
| 1912427121 | Kalysia Zimmerman | Rehabilitation Practitioner | 1444 Water St, Eaton Rapids, MI 48827-1860 | 2017-06-20 |
| 1104354349 | Rock Steady Boxing Mid Michigan | Rehabilitation Practitioner | 1914 S Saginaw Rd Apt 408, Midland, MI 48640-6808 | 2017-06-01 |
| 1952839532 | Alexus Miller | Rehabilitation Practitioner | 1314 Langley St Se, Grand Rapids, MI 49508-8925 | 2017-05-26 |
| 1528595055 | Amber Rose Brautigam | Rehabilitation Practitioner | 315 Fuller Ave Se # 2, Grand Rapids, MI 49506-1639 | 2017-05-15 |
| 1831625607 | April D Spotts | Rehabilitation Practitioner | 86 W Clarke Ave, Coldwater, MI 49036-1130 | 2017-05-11 |
| 1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| Find all providers with the same taxonomy | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
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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.