Organization Active NPI

Performance Rehab Specialists LLC

  • Physical Therapy Clinic/Center
  • Warren, MI
National Provider Identifier
1013540335
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Feb 14, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.