Center for Physical Medicine and Rehabilitation PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CENTER FOR PHYSICAL MEDICINE AND REHABILITATION PC

Practice address

13850 E 12 Mile Rd
Ste 2-B
Warren, MI 48088-3730

Phone

(586) 552-4499

Fax

(586) 552-4878

NPI assigned

Dec 26, 2007

Organization subpart

No

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

Authorized official

Name

Robert Alan Krasnick, MD

Title

President

Phone

(586) 552-4499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Complete Orthotics Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Center for Physical Medicine & Rehabilitation PC

  • Specialist
  • Warren, MI
  • NPI 1003993312

  O20040323001725

  Same enrollment
• Center for Physical Medicine and Rehabilitiation

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
  • NPI 1790950459

  O20040323001725

  Same enrollment

Tax ID family

Center for Physical Medicine and Rehabilitation PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center for Physical Medicine and Rehabilitiation

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
  • NPI 1790950459
  NPD tax ID

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1053595199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13850 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883730",
            "telephone_number": "586-552-4499",
            "fax_number": "586-552-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 E 12 MILE RD",
            "address_2": "STE 2-B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883730",
            "telephone_number": "586-552-4499",
            "fax_number": "586-552-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PHYSICAL MEDICINE AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "KRASNICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-552-4499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "540E020680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine Moritz LMSW, LLC
• Carla Evangeline Caudill
• Sabina Causevic X, RN
• Desire Zane Causey
• Center for Physical Medicine & Rehabilitation PC
• Center for Physical Medicine and Rehabilitiation
• Center for Weight Management
• Century Multipurpose Services,LLC
• Angela N Cergnul, D.D.S.
• Mustafa Chahrour

• Durable Medical Equipment & Medical Supplies in Warren, MI
• Providers in Warren, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.