PHYSICAL REHAB SERVICES LLC (NPI# 1992139562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992139562 |
Entity Type | Organization |
Organization Name | PHYSICAL REHAB SERVICES LLC |
Practice Address |
21331 Kelly Rd Ste 140a Eastpointe MI 48021 |
Practice Telephone | 5869442323 |
Mailing Telephone | 5869442323 |
Enumeration Date | 2013-08-30 |
Last Update Date | 2016-09-02 |
Authorized Official Name | BERNARD FOSTER (OWNER) |
Authorized Official Telephone | 5869442323 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Street Address |
21331 KELLY RD STE 140A |
City | EASTPOINTE |
State | MI |
Zip Code | 48021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841292158 | Rakesh Lattupalli | Internal Medicine | 21331 Kelly Rd, Ste. 120, Eastpointe, MI 48021-3265 | 2005-06-01 |
1710336995 | Massage Matters Michigan LLC | Public Health or Welfare | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2016-06-08 |
1144677915 | Sheritta Marie Buford | Specialist | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2016-05-20 |
1417230889 | Metro Detroit Renal Doctor | Internal Medicine | 21331 Kelly Rd, Suite 120, Eastpointe, MI 48021-3265 | 2011-09-22 |
1659698884 | Administrative Specialists, LLC | Family Medicine | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2010-04-28 |
1912224148 | Primary Care Physicians Iv, P.C. | Family Medicine | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2010-04-28 |
1174840417 | Richard S Fine Md PC | Internal Medicine | 21331 Kelly Rd, Suite 100, Eastpointe, MI 48021-3265 | 2010-04-27 |
1891955597 | Kenneth Dziuba Md PC | Internal Medicine | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2008-06-16 |
1205093275 | Primary Care Physicians II, P.C. | Specialist | 21331 Kelly Rd, Eastpointe, MI 48021-3265 | 2008-05-19 |
1376566596 | Richard Sherman Fine | Internal Medicine | 21331 Kelly Rd, Ste 100, Eastpointe, MI 48021 | 2006-07-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
Find all providers in zip 48021 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114537719 | Axpert Rehab Care, LLC | Clinic/Center | 22830 Kelly Rd, Eastpointe, MI 48021-2072 | 2020-08-07 |
1740538446 | One On One Physical Rehabilitation LLC | Clinic/Center | 21331 Kelly Rd., Eastpointe, MI 48021-3265 | 2012-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679485 | Thrive Physical Therapy | Clinic/Center | 835 Mason St Ste A245, Dearborn, MI 48124-2231 | 2020-11-06 |
1700484482 | Redford Physical Therapy LLC | Clinic/Center | 25136 W 6 Mile Rd, Redford, MI 48240-2102 | 2020-10-14 |
1740894500 | Sara Sue Laisure | Clinic/Center | 1105 E 8th St, Traverse City, MI 49686-2936 | 2020-08-31 |
1578176269 | Pro-line Physical Therapy, LLC | Clinic/Center | 25899 W 12 Mile Rd Ste 335, Southfield, MI 48034-8343 | 2020-08-24 |
1326650011 | Physical Therapy Center for Sports and Performing Arts, Pllc | Clinic/Center | 30475 Stephenson Hwy, Madison Heights, MI 48071-1615 | 2020-08-23 |
1770194607 | Restorative Rehabilitation Inc | Clinic/Center | 9228 Pelham Rd, Taylor, MI 48180-3832 | 2020-08-13 |
1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
1619586898 | Right Health, PC | Clinic/Center | 28345 Beck Rd Ste 412, Wixom, MI 48393-4745 | 2020-07-23 |
1497378368 | Launch Pediatric Rehab | Clinic/Center | 13448 Greenbriar Dr, Grand Haven, MI 49417-9161 | 2020-05-26 |
1003437195 | Delight Health Services LLC | Clinic/Center | 4123 Martin Rd Ste 201, Commerce Township, MI 48390-4151 | 2020-04-30 |
Find all providers with the same taxonomy |
City | EASTPOINTE |
Zip Code | 48021 |
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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.