PURELAND PHYSICAL THERAPY (NPI# 1710461421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710461421 |
| Entity Type | Organization |
| Organization Name | PURELAND PHYSICAL THERAPY |
| Practice Address |
45555 Mound Rd Shelby Twp MI 48317 |
| Mailing Address |
45555 Mound Rd Shelby Township MI 48317-5100 |
| Practice Telephone | 3136006326 |
| Mailing Telephone | 3136006326 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | ANGELO B FOSTER (IT) |
| Authorized Official Telephone | 3136006326 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
45555 MOUND RD |
| City | SHELBY TWP |
| State | MI |
| Zip Code | 48317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
| 1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
| 1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
| 1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
| 1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
| 1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
| 1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
| 1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
| 1811353972 | Sophie Griesbeck | Psychologist | 49970 White Mill Rd, Shelby Township, MI 48317 | 2016-01-05 |
| Find all providers in zip 48317 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629157 | Commerce Sports and Spine Pllc | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 400, Southfield, MI 48034-7661 | 2019-10-07 |
| 1861930109 | Excel Physical Medicine and Rehabilitation PC | Physical Medicine & Rehabilitation | 6089 W Maple Rd, Suite 250a, West Bloomfield, MI 48322-2286 | 2017-02-07 |
| 1447611926 | Detroit Institute of Pain & Musculoskeletal Medicine | Physical Medicine & Rehabilitation | 13510 Michigan Ave, Dearborn, MI 48126-3511 | 2016-03-11 |
| 1710355482 | Michigan Center for Regenerative Medicine Pllc | Physical Medicine & Rehabilitation | 1349 S Rochester Rd Ste 130, Rochester Hills, MI 48307-3152 | 2015-09-10 |
| 1396128021 | Michael Bonnette | Physical Medicine & Rehabilitation | 18312 Middlebelt Rd, Livonia, MI 48152-5007 | 2015-06-30 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1629328232 | Michigan Comprehensive Spine & Rehab PC | Physical Medicine & Rehabilitation | 29877 Telegraph Rd Ste 403, Southfield, MI 48034-1332 | 2012-09-12 |
| 1083996102 | Winchester Services LLC | Physical Medicine & Rehabilitation | 18470 Santa Ann Ave., Lathrup Village, MI 48076-4525 | 2011-09-14 |
| 1508008814 | Nmrs, P.C. | Physical Medicine & Rehabilitation | 267 Creekside Dr, Suite 200, Petoskey, MI 49770-7609 | 2009-04-01 |
| 1619113594 | Noel Sudarshan Chatla | Physical Medicine & Rehabilitation | 24611 Greenfield Rd, Southfield, MI 48075-3058 | 2008-12-26 |
| Find all providers with the same taxonomy | ||||
| City | SHELBY TWP |
| Zip Code | 48317 |
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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.