Organization Active NPI

Advance Rehabilitation Center

  • Physical Therapy Clinic/Center
  • Dearborn, MI
National Provider Identifier
1164597944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADVANCE REHABILITATION CENTER
Practice address
13244 W Warren Ave Ste 3
Dearborn, MI 48126-1415
Phone
(313) 581-3200
Fax
(313) 581-9085
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ali A Fadel, M.D.
Title
President
Phone
(313) 581-3200

Specialties & licenses 1

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

Addresses

Primary practice location

13244 W Warren Ave Ste 3
Dearborn, MI 48126-1415

Mailing address

13244 W Warren Ave Ste 3
Dearborn, MI 48126-1415
Phone (313) 581-3200

National Provider Directory

National Provider Directory

Locations

13244 W Warren Ave
Ste 3
Dearborn, MI 48126
Phone (313) 581-3200

Practitioners & affiliated clinicians

Practitioners 1

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164597944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13244 W WARREN AVE STE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261415",
            "telephone_number": "313-581-3200",
            "fax_number": "313-581-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13244 W WARREN AVE STE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261415",
            "telephone_number": "313-581-3200",
            "fax_number": "313-581-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FADEL",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-581-3200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.