Phoenix Rehabilitation Service

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHOENIX REHABILITATION SERVICE

Practice address

624 E 9 Mile Rd
Hazel Park, MI 48030-1842

Phone

(313) 525-5554

NPI assigned

Feb 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Atef Hamad

Title

Owner

Phone

(313) 525-1113

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1134492499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301842",
            "telephone_number": "313-525-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 E 9 MILE RD",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301842",
            "telephone_number": "313-525-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "HAMAD",
        "authorized_official_first_name": "ATEF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-525-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Healthy Eyes PC
• Patriot Home Health Care LLC
• Payne Family Care LLC
• Peaces of You, LLC
• Perry Drug Stores Inc and Subsidiaries
• Kristen Charlene Ponichter, DMD
• Venu Gopal Potluri, R.PH
• Lashanda Powell
• Primary Medical Urgent Care P.C.
• Prism Park Optical Studio

• Physical Therapy Clinic/Center in Hazel Park, MI
• Providers in Hazel Park, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.