Specialist Rehabilitation Services, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005344 Issued in MI

Legal business name

SPECIALIST REHABILITATION SERVICES, INC

Practice address

25941 W 6 Mile Rd
Suite W
Redford, MI 48240-2214

Phone

(248) 396-0929

Fax

(248) 661-9586

NPI assigned

Jun 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mohammad B Khurshid

Title

President

Phone

(248) 396-0929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1164719928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25941 W 6 MILE RD",
            "address_2": "SUITE W",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402214",
            "telephone_number": "248-396-0929",
            "fax_number": "248-661-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25941 W 6 MILE RD",
            "address_2": "SUITE W",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402214",
            "telephone_number": "248-396-0929",
            "fax_number": "248-661-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIST REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "KHURSHID",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-396-0929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne E Snudden, M.A., IMH-E(III)
• Chanel Denise Somerville, RN. BSN
• Janel Marie Sonnenberg
• Alice Spearman
• Maria Spears, PA
• Jamie Spencer, PA
• Daniesea M Spicer
• Linda L. Sprague, CCC-A
• Prasad G Sripada, M.D.
• Camran Stack

• Physical Therapist in Redford, MI
• Providers in Redford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.