Northern Michigan Rehabilitation Specialists, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NORTHERN MICHIGAN REHABILITATION SPECIALISTS, P.C.

Practice address

3916 Charlevoix Ave
Suite B
Petoskey, MI 49770-9722

Phone

(231) 348-1995

Fax

(231) 347-3223

NPI assigned

Jan 22, 2007

Last updated

Apr 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Rose, M.D.NPI 1063422285

Title

President

Phone

(231) 348-1995

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Keith Rose, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Petoskey, MI
  • NPI 1063422285
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1093869604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700034",
            "telephone_number": "231-348-1995",
            "fax_number": "231-347-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 CHARLEVOIX AVE",
            "address_2": "SUITE B",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709722",
            "telephone_number": "231-348-1995",
            "fax_number": "231-347-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN REHABILITATION SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-348-1995",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Michigan Musculoskeletal Medicine PLLC
• Northern Michigan Oral and Maxillofacial Surgery PC
• Northern Michigan Pain Specialists PC
• Northern Michigan Physical Medicine PC
• Northern Michigan Physical Medicine PLC
• Northern Michigan Rheumatology PC
• Northern Michigan Sports Medicine Center
• Northern Michigan Urology P.C.
• Northern Pathology Associates, PC
• Northern Periodontics & Implant Dentistry, P.C.

• Physical Medicine & Rehabilitation Physician in Petoskey, MI
• Providers in Petoskey, 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 Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.