Active NPI
Performance Rehab Specialists LLC
- Physical Therapy Clinic/Center
- Warren, MI
National Provider Identifier
1013540335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PERFORMANCE REHAB SPECIALISTS LLC
- Practice address
- 8200 Old 13 Mile Rd Ste 102
Warren, MI 48093-2171 - Phone
- (586) 250-4584
- Fax
- (586) 250-4594
- NPI assigned
- Feb 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachna Kapoor
- Title
- Administrator
- Phone
- (586) 250-4584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
8200 Old 13 Mile Rd Ste 102
Warren, MI 48093-2171
Mailing address
8200 Old 13 Mile Rd Ste 102
Warren, MI 48093-2171
Phone (586) 250-4584
National Provider Directory
National Provider DirectoryLocations
8200 Old 13 Mile Rd
Ste 102
Warren, MI 48093
Phone (205) 215-9892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581638400000",
"number": "1013540335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 OLD 13 MILE RD STE 102",
"city": "WARREN",
"state": "MI",
"postal_code": "480932171",
"telephone_number": "586-250-4584",
"fax_number": "586-250-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 OLD 13 MILE RD STE 102",
"city": "WARREN",
"state": "MI",
"postal_code": "480932171",
"telephone_number": "586-250-4584",
"fax_number": "586-250-4594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE REHAB SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-14",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A",
"authorized_official_last_name": "KAPOOR",
"authorized_official_first_name": "RACHNA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "586-250-4584"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.