Organization Active NPI

Axpert Rehab Care, LLC

Doing business as Axpert Aquatic Rehab Care

  • Physical Therapy Clinic/Center
  • Eastpointe, MI
National Provider Identifier
1114537719
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AXPERT REHAB CARE, LLC
Doing business as
Axpert Aquatic Rehab Care
Practice address
22830 Kelly Rd
Eastpointe, MI 48021-2072
Phone
(313) 485-0809
NPI assigned
Aug 7, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Lynzee M Blanks
Title
Owner
Phone
(313) 485-0809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

22830 Kelly Rd
Eastpointe, MI 48021-2072

Mailing address

14313 Artesian St
Detroit, MI 48223-2919

Other names 1

  • Axpert Aquatic Rehab Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1114537719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14313 ARTESIAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22830 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212072",
            "telephone_number": "313-485-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXPERT REHAB CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BLANKS",
        "authorized_official_first_name": "LYNZEE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-485-0809"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axpert Aquatic Rehab Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.