Meridian Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MERIDIAN REHAB LLC

Practice address

33000 Palmer Rd
Suite #2
Westland, MI 48186-5517

Phone

(734) 680-8626

Fax

(734) 680-8676

NPI assigned

Jul 8, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Vasudevan Suryakumar, PTNPI 1598784712

Title

Partner/Managing Member

Phone

(734) 680-8626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vasudevan Suryakumar, P.T.

  • Physical Therapist
  • Canton, MI
  • NPI 1598784712
  Medicare reassignment Care Compare group NPD Authorized official
• Anbu Punniyakotti, PT

  • Physical Therapist
  • Canton, MI
  • NPI 1083807796
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1043651979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33000 PALMER RD",
            "address_2": "SUITE #2",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865517",
            "telephone_number": "734-680-8626",
            "fax_number": "734-680-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33000 PALMER RD",
            "address_2": "SUITE #2",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865517",
            "telephone_number": "734-680-8626",
            "fax_number": "734-680-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "SURYAKUMAR",
        "authorized_official_first_name": "VASUDEVAN",
        "authorized_official_title_or_position": "PARTNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "734-680-8626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Westland, MI
• Providers in Westland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.