Active NPI
Rehabone-Center for Orthopedic & Sports Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Sterling Heights, MI
National Provider Identifier
1053356907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5501007799
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gervacio Marasigan Laqui, MHSCPT,MTC,MGS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Sports Physical Therapist
- Sterling Heights, MI
- NPI 1407891344
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.