Premier Rehabilitation Services, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PREMIER REHABILITATION SERVICES, INC.

Practice address

8200 S Saginaw St Ste 200
Grand Blanc, MI 48439-1886

Phone

(810) 603-7008

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Boris Berkovich

Title

Manager

Phone

(248) 935-6646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1174065270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 200",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391886",
            "telephone_number": "810-603-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S SAGINAW ST STE 200",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391886",
            "telephone_number": "810-603-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "BERKOVICH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-935-6646",
        "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": []
}

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• Physical Therapy Clinic/Center in Grand Blanc, MI
• Providers in Grand Blanc, 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 7, 2016; 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.