Max Rehab Physical Therapy, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

5501011866 Issued in MI

Legal business name

MAX REHAB PHYSICAL THERAPY, LLC

Practice address

28051 Dequindre Rd
Madison Heights, MI 48071-3016

Phone

(248) 629-4011

Fax

(248) 629-4010

NPI assigned

Feb 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Labib, RPT, DPT

Title

Ceo/Administrator

Phone

(248) 629-4011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1124325774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016",
            "telephone_number": "248-629-4011",
            "fax_number": "248-629-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016",
            "telephone_number": "248-629-4011",
            "fax_number": "248-629-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX REHAB PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "LABIB",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "248-629-4011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT, DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "5501011866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basil John Marrella, DO
• Nicholas Martini, PT, DPT
• John D. Marx, D.D.S., M.S.
• Matthew B. Cohen DC, PLLC
• Kaylee Renee Maust, SLP
• Max Rehabilitation Physical Therapy LLC
• Maxem Health Urgent Care Madison Heights
• Jonathon Mitchell Maxgay
• Randy C Mayerson, M.T.
• Molly Kathleen McCarthy

• Clinic/Center in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.