NPIMap

Organization Active NPI

LMT Rehabilitation Associates

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Rochester Hills, MI
National Provider Identifier
1093933806
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
208100000X Issued in MI
Legal business name
LMT REHABILITATION ASSOCIATES
Practice address
1701 South Blvd E Ste 120
Wellpointe Center
Rochester Hills, MI 48307-6115
Phone
(248) 852-0860
Fax
(248) 852-0901
NPI assigned
Apr 24, 2007
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Amy W Thomas
Title
Practice Manager
Phone
(248) 616-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X 208100000X MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 120
Wellpointe Center
Rochester Hills, MI 48307-6115

Mailing address

30701 Barrington St Ste 100
Madison Heights, MI 48071-5114
Phone (248) 616-1170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071113000156 MI Part B Supplier - Clinic/Group Practice 0446265268 Receives reassigned benefits from 31 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lake Orion, MI; Macomb, MI; Rochester Hills, MI; Royal Oak, MI

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Locations

30701 Barrington St
Ste 100
Madison Heights, MI 48071
Phone (248) 583-2733

30701 Barrington St
Ste 150
Madison Heights, MI 48071
Phone (248) 616-1170

1701 South Blvd E
Ste 120
Rochester Hills, MI 48307
Phone (248) 852-0860

3535 W 13 Mile Rd
#437
Royal Oak, MI 48073
Phone (248) 288-2210

4600 Investment Dr
Ste 180
Troy, MI 48098
Phone (248) 288-2210

Practitioners & affiliated clinicians

Practitioners 33

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 33

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1093933806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 BARRINGTON ST STE 100",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715114",
            "telephone_number": "248-616-1170",
            "fax_number": "248-589-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 120",
            "address_2": "WELLPOINTE CENTER",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076115",
            "telephone_number": "248-852-0860",
            "fax_number": "248-852-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMT REHABILITATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "248-616-1170"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "208100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.