NPIMap

Organization Active NPI

Parc Rehabilitation, LLC

  • Occupational Therapist
  • Farmington Hills, MI
National Provider Identifier
1083380729
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
PARC REHABILITATION, LLC
Practice address
31690 W 12 Mile Rd Ste 102
Farmington Hills, MI 48334-4404
Phone
(248) 915-8592
NPI assigned
Aug 23, 2021
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Jonathan GassoNPI 1811457328
Title
Ceo
Phone
(248) 915-8592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

31690 W 12 Mile Rd Ste 102
Farmington Hills, MI 48334-4404

Mailing address

31690 W 12 Mile Rd Ste 102
Farmington Hills, MI 48334-4404
Phone (248) 915-8592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211007000259 MI Part B Supplier - Clinic/Group Practice 4082012984 Receives reassigned benefits from 21 practitioners
Practice locations: Sterling Heights, MI; Commerce TWP, MI; Rochester, MI; Riverview, MI; Novi, MI; Oakland TWP, MI; Clarkston, MI; Northville, MI

National Provider Directory

National Provider Directory

Locations

31690 W 12 Mile Rd
Ste 102
Farmington Hills, MI 48334

33060 Northwestern Hwy
Ste 210A
West Bloomfield, MI 48322
Phone (248) 915-8592

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1083380729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31690 W 12 MILE RD STE 102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344404",
            "telephone_number": "248-915-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31690 W 12 MILE RD STE 102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344404",
            "telephone_number": "248-915-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARC REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "GASSO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-915-8592"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.