Agility Rehabilitation, LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

AGILITY REHABILITATION, LLC

Practice address

600 Bennett St
Rose City, MI 48654-9553

Phone

(989) 685-8821

Fax

(989) 685-8472

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Sharon Isaac

Title

Owner

Phone

(989) 685-8821

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1124554290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BENNETT ST",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486549553",
            "telephone_number": "989-685-8821",
            "fax_number": "989-685-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BENNETT ST",
            "city": "ROSE CITY",
            "state": "MI",
            "postal_code": "486549553",
            "telephone_number": "989-685-8821",
            "fax_number": "989-685-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGILITY REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ISAAC",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-685-8821"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Barber
• Ronda Childress, LMT
• Community Physical Therapy Inc.
• Community Rehabilitation Services,PC
• Annet Fay Culbertson

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Rose City, MI
• Providers in Rose City, MI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.