Rehab Specialists of Southfield

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501001690 Issued in MI

Legal business name

REHAB SPECIALISTS OF SOUTHFIELD

Practice address

29355 Northwestern Hwy
#200
Southfield, MI 48034-1053

Phone

(248) 353-7507

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Ronald Brockey, PT

Title

Physical Therapist

Phone

(248) 353-7507

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104033182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 ATKINS RD",
            "city": "CLYDE",
            "state": "MI",
            "postal_code": "480494507",
            "telephone_number": "248-353-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29355 NORTHWESTERN HWY",
            "address_2": "#200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341053",
            "telephone_number": "248-353-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SPECIALISTS OF SOUTHFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROCKEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-353-7507",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5501001690",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regen Physical Therapy LLC
• Regent Home Care Inc.
• Bethany Haubert Regner, PA
• Rehab Medical Specialist
• Rehab Physicians of Metro Detroit
• Rehab Work Group, LLC
• Rehabilitation Medical Specialists PLLC
• Iram A Rehman, MD
• Ronda Reibscheid, LMSW
• Chimere Reid

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.