Organization Active NPI

Superior Rehabilitation & Professional Services, LLC

Doing business as Superior Rehab

  • Community/Behavioral Health Agency
  • Marquette, MI
National Provider Identifier
1114348687
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPERIOR REHABILITATION & PROFESSIONAL SERVICES, LLC
Doing business as
Superior Rehab
Practice address
1310 S Front St
Suite C
Marquette, MI 49855-5185
Phone
(906) 273-1517
Fax
(906) 273-1519
NPI assigned
Dec 30, 2013
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Wendi Thomas
Title
Business Manager
Phone
(906) 273-1517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MI Primary

Addresses

Primary practice location

1310 S Front St
Suite C
Marquette, MI 49855-5185

Mailing address

1310 S Front St
Suite C
Marquette, MI 49855-5185
Phone (906) 273-1517

Other names 1

  • Superior Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

1310 S Front St
Ste C
Marquette, MI 49855
Phone (906) 273-1517

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1114348687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 S FRONT ST",
            "address_2": "SUITE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555185",
            "telephone_number": "906-273-1517",
            "fax_number": "906-273-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 S FRONT ST",
            "address_2": "SUITE C",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555185",
            "telephone_number": "906-273-1517",
            "fax_number": "906-273-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR REHABILITATION & PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "906-273-1517"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Superior Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.