Organization Active NPI

Rehabone-Center for Orthopedic & Sports Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1053356907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501007799 Issued in MI
Legal business name
REHABONE-CENTER FOR ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC
Practice address
37300 Dequindre Rd
Suite 300
Sterling Heights, MI 48310-3591
Phone
(586) 983-2498
Fax
(586) 983-2501
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gervacio Marasigan Laqui, MHSCPT,MTC,MGSNPI 1407891344
Title
President Ceo
Phone
(586) 983-2498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501007799 MI Primary

Addresses

Primary practice location

37300 Dequindre Rd
Suite 300
Sterling Heights, MI 48310-3591

Mailing address

2037 Deveere Dr
Sterling Heights, MI 48310-5853
Phone (586) 883-4176

National Provider Directory

National Provider Directory

Locations

37300 Dequindre Rd
Ste 300
Sterling Heights, MI 48310
Phone (586) 883-4176

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053356907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 DEVEERE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105853",
            "telephone_number": "586-883-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37300 DEQUINDRE RD",
            "address_2": "SUITE 300",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103591",
            "telephone_number": "586-983-2498",
            "fax_number": "586-983-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABONE-CENTER FOR ORTHOPEDIC & SPORTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAQUI",
        "authorized_official_first_name": "GERVACIO",
        "authorized_official_middle_name": "MARASIGAN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "586-983-2498",
        "authorized_official_credential": "MHSCPT,MTC,MGS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501007799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • 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.