Organization Active NPI

Preferred Rehab Clinic PC

  • Pain Medicine Physician
  • Warren, MI
National Provider Identifier
1114437159
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PREFERRED REHAB CLINIC PC
Practice address
5659 E 13 Mile Rd
Warren, MI 48092
Phone
(586) 883-9970
Fax
(586) 883-7550
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Monique Ann Hatchinson
Title
Director
Phone
(586) 883-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

5659 E 13 Mile Rd
Warren, MI 48092

Mailing address

5657 E 13 Mile Rd
Warren, MI 48092-1511
Phone (586) 883-9970

National Provider Directory

National Provider Directory

Locations

5657 E 13 Mile Rd
Warren, MI 48092
Phone (586) 698-2747

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1114437159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480921511",
            "telephone_number": "586-883-9970",
            "fax_number": "586-883-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48092",
            "telephone_number": "586-883-9970",
            "fax_number": "586-883-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED REHAB CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "HATCHINSON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "586-883-9970"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.