Organization Active NPI

Michigan Orthopedic Rehabilitation Specialists LLC

  • Physical Therapy Clinic/Center
  • Wixom, MI
National Provider Identifier
1124424742
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501010287 Issued in MI
Legal business name
MICHIGAN ORTHOPEDIC REHABILITATION SPECIALISTS LLC
Practice address
50200 Dennis CT
Funstrength
Wixom, MI 48393-2021
Phone
(248) 390-8363
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Robert BudaiNPI 1427159581
Title
Owner
Phone
(248) 390-8363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501010287 MI Primary

Addresses

Primary practice location

50200 Dennis CT
Funstrength
Wixom, MI 48393-2021

Mailing address

50200 Dennis CT
Wixom, MI 48393-2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150212000114 MI Part B Supplier - Clinic/Group Practice 8123343282 Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, MI; Wixom, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1124424742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50200 DENNIS CT",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50200 DENNIS CT",
            "address_2": "FUNSTRENGTH",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483932021",
            "telephone_number": "248-390-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ORTHOPEDIC REHABILITATION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "BUDAI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-390-8363"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501010287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.