Active NPI
Nicholas Rock
- Physical Therapist
- Clinton Township, MI
National Provider Identifier
1184054595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016222
- Practice address
- 33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258 - Phone
- (586) 416-9100
- Fax
- (586) 416-9103
- NPI assigned
- Nov 21, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016222 | MI | Primary |
Addresses
Primary practice location
33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Mailing address
64541 Van Dyke Rd
Suite 130
Washington TWP, MI 48095-2570
Phone (586) 935-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1548932619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1184054595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64541 VAN DYKE RD",
"address_2": "SUITE 130",
"city": "WASHINGTON TWP",
"state": "MI",
"postal_code": "480952570",
"telephone_number": "586-935-1100",
"fax_number": "586-935-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33900 HARPER AVE",
"address_2": "SUITE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCK",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-21",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.