Organization Active NPI

Michigan Rehabilitation Specialists of Davison PC

  • Physical Therapy Clinic/Center
  • Davison, MI
National Provider Identifier
1174719504
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MICHIGAN REHABILITATION SPECIALISTS OF DAVISON PC
Practice address
10078 Lapeer Rd
Davison, MI 48423-9031
Phone
(810) 231-6904
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Rodney P Goble
Title
Co-Owner
Phone
(810) 231-6904

Specialties & licenses 1

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

Addresses

Primary practice location

10078 Lapeer Rd
Davison, MI 48423-9031

Mailing address

10078 Lapeer Rd
Davison, MI 48423-9031
Phone (810) 231-6904

National Provider Directory

National Provider Directory

Locations

10078 Lapeer Rd
Davison, MI 48423

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1174719504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10078 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239031",
            "telephone_number": "810-231-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10078 LAPEER RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239031",
            "telephone_number": "810-231-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION SPECIALISTS OF DAVISON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "810-231-6904"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.