Primecare Physical Therapy and Rehab, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRIMECARE PHYSICAL THERAPY AND REHAB, INC

Practice address

21505 Van Born
Taylor, MI 48180

Phone

(313) 359-1963

Fax

(313) 359-1966

NPI assigned

Jul 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin Michael Miller

Title

Administrator

Phone

(313) 359-1963

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033137880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21505 VAN BORN",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "48180",
            "telephone_number": "313-359-1963",
            "fax_number": "313-359-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21505 VAN BORN",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "48180",
            "telephone_number": "313-359-1963",
            "fax_number": "313-359-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE PHYSICAL THERAPY AND REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-359-1963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Taylor, MI
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• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.