Organization Active NPI

Angel Rehab Inc.

  • Physical Medicine & Rehabilitation Physician
  • Troy, MI
National Provider Identifier
1104291376
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5501008332 Issued in MI
Legal business name
ANGEL REHAB INC.
Practice address
1259 Burns Dr
Troy, MI 48083-6317
Phone
(248) 743-2856
Fax
(248) 743-2856
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Mrs. Archana Tiwari, DPT
Title
President
Phone
(586) 201-6658

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 5501008332 MI Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

1259 Burns Dr
Troy, MI 48083-6317

Mailing address

1259 Burns Dr
Troy, MI 48083-6317
Phone (248) 743-2856

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1104291376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 BURNS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836317",
            "telephone_number": "248-743-2856",
            "fax_number": "248-743-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 BURNS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480836317",
            "telephone_number": "248-743-2856",
            "fax_number": "248-743-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "TIWARI",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-201-6658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501008332",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.