Hamtramck Physical Theraphy and Rehab Services, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

236789 Issued in MI

Legal business name

HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC.

Practice address

20755 Greenfield Rd
Suite 803
Southfield, MI 48075-5403

Phone

(248) 552-0283

Fax

(248) 552-0576

NPI assigned

Apr 19, 2006

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan San Tos

Title

Administrator

Phone

(248) 552-0283

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1154386563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE 803",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-552-0283",
            "fax_number": "248-552-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD",
            "address_2": "SUITE 803",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755403",
            "telephone_number": "248-552-0283",
            "fax_number": "248-552-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "SAN TOS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-552-0283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "236789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER (MEDICARE",
            "identifier": "236789",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary T Hammer, CRNA
• Grace Hammond
• Dyan Hampton-Aytch, PHD, LP
• Djuana Hampton-Rice, LCSW
• Aiyana Hampton
• Alexandra E Hanania
• Shannon Hancock
• Lakeisha Handcock
• Caden R Handley
• Shelley Ann Handren, MA, CCC/SLP

• Preferred Provider Organization in Southfield, MI
• Providers in Southfield, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.