ADVANCED NEURO REHAB SERVICES (NPI# 1710023916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710023916 |
| Entity Type | Organization |
| Organization Name | ADVANCED NEURO REHAB SERVICES |
| Practice Address |
26635 Woodward Avenue Suite 101 Huntington Woods MI 48070 |
| Mailing Address |
26635 Woodward Avenue Suite 101 Huntington Woods MI 48070-1372 |
| Practice Telephone | 2485486400 |
| Practice Fax Number | 2485488885 |
| Mailing Telephone | 2485486400 |
| Mailing Fax Number | 2485488885 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-12 |
| Authorized Official Name | LISA JOHNSON (OFFICE MANAGER) |
| Authorized Official Telephone | 2485486400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
HP050806-4301050 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4377860 | 05 |
| Street Address |
26635 WOODWARD AVENUE SUITE 101 |
| City | HUNTINGTON WOODS |
| State | MI |
| Zip Code | 48070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286237 | Intrinsic Dental Care Plc | Dentist | 26711 Woodward Ave., Suite 101, Huntington Woods, MI 48070 | 2019-07-10 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1396958336 | Matthew James Smith | Dentist | 26711 Woodward Avenue, Suite 107, Huntington Woods, MI 48070 | 2007-05-07 |
| 1467664177 | Barry Chesterman | Physical Therapist | 13132 Ludlow Ave, Huntington Woods, MI 48070 | 2007-05-04 |
| 1194802314 | Russell Charles Bowman | Dentist | 26635 Woodward, Huntington Woods, MI 48070 | 2006-11-01 |
| 1508951104 | Chen Cao | Dentist | 26789 Woodward Ave., Suite 203, Huntington Woods, MI 48070 | 2006-10-03 |
| 1235162231 | Ira Joseph Schaer | Psychologist | 26789 Woodward, Suite 211, Huntington Woods, MI 48070 | 2006-07-10 |
| 1962475236 | Lisa Anne Fulgenzi | Internal Medicine | 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070 | 2006-02-08 |
| 1861478612 | Nancy M Mannisto | Pediatrics | 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 | 2005-12-22 |
| 1538571807 | Kathleen O'neill | Nurse Practitioner | 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070 | 2014-05-21 |
| Find all providers in zip 48070 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912562984 | Epic Management, LLC | Physical Therapist | 25865 W 12 Mile Rd Ste 101, Southfield, MI 48034-1817 | 2019-05-06 |
| 1871095273 | Mathew Alan Hoard | Physical Therapist | 3360 Hospital Rd, Saginaw, MI 48603-9622 | 2018-03-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1891297396 | Sean Patrick Murphy | Physical Therapist | 235 Wealthy St., Grand Rapids, MI 49503 | 2018-03-01 |
| 1497256531 | Natalie Brown | Physical Therapist | 32715 Grand River Ave, Farmington, MI 48336-3113 | 2018-02-23 |
| 1619425352 | Krystina Nicole Miller | Physical Therapist | 13473 Evergreen Dr, Otter Lake, MI 48464 | 2016-09-12 |
| 1215247150 | Nicole Heather Mitchell | Physical Therapist | 5832 N Lapeer Rd Ste Abc, North Branch, MI 48461-8144 | 2010-10-13 |
| 1487211025 | Samuel Vanderwoude | Physical Therapist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2019-05-20 |
| 1720556384 | Kristine Nicole Koch | Physical Therapist | 261 Mack Ave, Detroit, MI 48201-2495 | 2018-11-12 |
| 1386135093 | Laura Ann Poirier | Physical Therapist | 27450 Schoenherr Rd, Warren, MI 48088-6683 | 2018-05-29 |
| Find all providers with the same taxonomy | ||||
| City | HUNTINGTON WOODS |
| Zip Code | 48070 |
Please comment or provide details below to improve the information on ADVANCED NEURO REHAB SERVICES.
| 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.