Deer Run Rehabilitation Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

DEER RUN REHABILITATION INC

Practice address

4421 W Main St
Midland, MI 48640-2304

Phone

(989) 832-9026

NPI assigned

Sep 18, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Janet AllenNPI 1235687567

Title

Administrator

Phone

(989) 832-9026

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 3

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

• Jessica Babcock, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Midland, MI
  • NPI 1679043335
  Medicare reassignment NPD
• Charles Matthew Bass, OT

  • Occupational Therapist
  • Midland, MI
  • NPI 1063685949
  Medicare reassignment NPD
• Janet Allen, RN BSN CBIS

  • Assisted Living Facility
  • Midland, MI
  • NPI 1235687567
  NPD Authorized official

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1093299901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 W MAIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402304",
            "telephone_number": "989-832-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 W MAIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402304",
            "telephone_number": "989-832-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER RUN REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-832-9026",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Daws, O.D.
• Nathaniel Dean, MA LLPC
• Jeremiah Reginald Debrosse
• Darlene Decker
• Jaden Decuf
• Sabrina Degaro
• Hana Jane Dehtiar, MT-BC
• Jeffery Deitrick
• Caidence Sue Dejongh
• Zane Deliu

• Physical Medicine & Rehabilitation Physician in Midland, MI
• Providers in Midland, 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 May 16, 2022; 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.