Organization Active NPI

Revive Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Westland, MI
National Provider Identifier
1164942140
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REVIVE REHABILITATION LLC
Practice address
1678 S Merriman Rd
Westland, MI 48186-5355
Phone
(313) 544-8921
Fax
(313) 357-3670
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Mr. Hussein Alaouie
Title
Member
Phone
(313) 544-8921

Specialties & licenses 1

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

Addresses

Primary practice location

1678 S Merriman Rd
Westland, MI 48186-5355

Mailing address

24530 Ford Rd
Dearborn Heights, MI 48127-3110
Phone (313) 357-3666

National Provider Directory

National Provider Directory

Locations

24530 Ford Rd
Dearborn Heights, MI 48127

Practitioners & affiliated clinicians

Practitioners 2

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1164942140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24530 FORD RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273110",
            "telephone_number": "313-357-3666",
            "fax_number": "313-357-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 S MERRIMAN RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865355",
            "telephone_number": "313-544-8921",
            "fax_number": "313-357-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "ALAOUIE",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-544-8921",
        "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": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.