EAGLE REHAB CORPORATION (NPI# 1508826058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508826058 |
| Entity Type | Organization |
| Organization Name | EAGLE REHAB CORPORATION |
| Practice Address |
20332 Eureka Road Taylor MI 48180 |
| Mailing Address |
4714 Gettysburg Rd Legal Dpt Mechanicsburg PA 17055-4325 |
| Practice Telephone | 7342856767 |
| Practice Fax Number | 7342850161 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759781 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-09-01 |
| NPI Deactivation Date | 12/07/2007 |
| NPI Reactivation Date | 2008-02-06 |
| Authorized Official Name | MICHAEL E TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255391702 | Eagle Rehab Corporation | Clinic/Center | 1969 North Wayne Road, Westland, MI 48185 | 2006-03-27 |
| 1245290063 | Eagle Rehab Corporation | Clinic/Center | 15918 19 Mile Rd, Ste 150, Clinton Township, MI 48038 | 2006-03-24 |
| 1851351670 | Eagle Rehab Corporation | Clinic/Center | 228 W Chicago Rd, Sturgis, MI 49091 | 2006-03-24 |
| 1679541809 | Eagle Rehab Corporation | Clinic/Center | 10905 Ft Washington Rd, Ste 101, Ft Washington, MD 20744 | 2006-03-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EAGLE REHAB CORPORATION | 4714 Gettysburg Rd, Mechanicsburg, PA 17055-4325 |
| Colorado Business Entities | EAGLE REHAB CORPORATION | 4714 Gettysburg Road, Attn: Legal, Mechanicsburg, PA 17055-4325 |
| Street Address |
20332 EUREKA ROAD |
| City | TAYLOR |
| State | MI |
| Zip Code | 48180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920288 | Kenneth Harlan | Physical Therapist | 22606 Northline Rd., Taylor, MI 48180 | 2019-03-12 |
| 1790270916 | Ryan Thomas Sankovic | Physical Medicine & Rehabilitation | 10000 Telegraph Road, Taylor, MI 48180 | 2018-06-29 |
| 1538658026 | Deborah Moseley | Physical Therapist | 21308 Eureka Rd, Taylor, MI 48180 | 2018-05-09 |
| 1366944837 | Cheryl Lee Ivie | Nurse Practitioner | 26650 Eureka Rd Suite C, Taylor, MI 48180 | 2018-03-01 |
| 1619407376 | Markesha Lynn Smith | Case Manager/Care Coordinator | 26550 Eureka Road, Suite C, Taylor, MI 48180 | 2017-06-15 |
| 1376072645 | Chris James Clark | Massage Therapist | 11178 Katrine, Taylor, MI 48180 | 2017-06-08 |
| 1245767151 | Alexandre John Mazar | Student in an Organized Health Care Education/Training Program | 10000 Telegraph Road - Beaumont Taylor Hospital, Physical Medicine and Rehabilitation Department, Taylor, MI 48180 | 2017-05-23 |
| 1063949030 | Jared David Mccallum | Physical Medicine & Rehabilitation | Beaumont Hospital, Taylor - Attn: Chris L Birkenhauer, 10000 Telegraph Ro, Taylor, MI 48180 | 2017-05-22 |
| 1972039667 | Chante Lowman | Specialist/Technologist | 23774 Crisler St., Taylor, MI 48180 | 2017-05-02 |
| 1477003036 | Latricia Osborne | Licensed Practical Nurse | 94060e. Pickwick Circle, Taylor, MI 48180 | 2016-10-07 |
| Find all providers in zip 48180 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
| 1275087843 | Active Functioning Testing LLC | Clinic/Center | 7550 Sloan St, Taylor, MI 48180-2412 | 2016-08-11 |
| 1144392465 | Family Rehab Care, Inc. | Clinic/Center | 12701 Telegraph Rd Ste 106, Taylor, MI 48180-4087 | 2006-11-14 |
| 1841387081 | United Physical Therapy & Rehabilitation, Inc. | Clinic/Center | 23268 Ecorse Rd, Taylor, MI 48180-1769 | 2006-10-09 |
| 1679506307 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 21107 Eureka Road, Taylor, MI 48180 | 2006-07-08 |
| 1245238070 | National Rehab Service, Inc | Clinic/Center | 12701 Telegraph Rd, Suite 208-209, Taylor, MI 48180-6847 | 2005-07-14 |
| 1407340326 | Keystone Rehabilitation Systems, Inc. | Clinic/Center | 648 N Main St, Taylor, PA 18517-1112 | 2018-06-15 |
| 1790143824 | Preventative Therapy, LLC | Clinic/Center | 25507 Ecorse Rd, Ste D, Taylor, MI 48180-1555 | 2016-02-03 |
| 1881839066 | S & R Physical Therapy Inc | Clinic/Center | 12345 Telegraph Rd, Suite 8, Taylor, MI 48180-6860 | 2008-12-02 |
| 1942339072 | Pro Physical Therapy & Rehab, Plc | Clinic/Center | 10501 Telegraph Rd, Suite 103, Taylor, MI 48180-3375 | 2007-03-05 |
| Find all providers in TAYLOR | ||||
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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.