Premier Physical Medicine and Rehabilitation of Michigan, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PREMIER PHYSICAL MEDICINE AND REHABILITATION OF MICHIGAN, P.C.

Doing business as

Premier PM&R

Practice address

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Phone

(248) 275-8571

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Nancy Marie Desantis, D.O.NPI 1952371007

Title

Partner

Phone

(248) 809-1227

Specialties & licenses 1

Addresses

Other names 1

• Premier PM&R Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

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

• Nancy M Desantis, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Royal Oak, MI
  • NPI 1952371007
  Medicare reassignment Care Compare group Authorized official
• Randi J. Long, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Royal Oak, MI
  • NPI 1003973272
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709424000000",
    "number": "1093287971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33717 WOODWARD AVE # 416",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480090913",
            "telephone_number": "248-809-1227",
            "fax_number": "248-809-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736712",
            "telephone_number": "248-275-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL MEDICINE AND REHABILITATION OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-809-1227",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier PM&R",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Premier PM&R",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cheryl M Powers, CRNA
• Jeremy Powers, M.D.
• Jeremy Powers, M.D.
• Kara Jill Powers, NP
• Coray Preece, DO
• Premier Radiation Oncology Services, P.L.C.
• Joseph Girard Preziosi, MD
• Isaac Price III
• Jacob Price, M.D.
• Tonya Price

• Physical Medicine & Rehabilitation Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; 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.