NPIMap

Organization Active NPI

Elite Medical and Rehabilitation Group

  • Physical Therapy Clinic/Center
  • Farmington Hills, MI
National Provider Identifier
1194135798
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501015068 Issued in MI
Legal business name
ELITE MEDICAL AND REHABILITATION GROUP
Practice address
30500 Northwestern Hwy Ste 316C
Farmington Hills, MI 48334-3178
Phone
(248) 539-8781
NPI assigned
May 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Boris Berkovich
Title
Manager
Phone
(248) 539-8781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501015068 MI Primary

Addresses

Primary practice location

30500 Northwestern Hwy Ste 316C
Farmington Hills, MI 48334-3178

Mailing address

30500 Northwestern Hwy Ste 316C
Farmington Hills, MI 48334-3178

National Provider Directory

National Provider Directory
Tax ID family
Elite Medical and Rehabilitation Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1194135798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY STE 316C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30500 NORTHWESTERN HWY STE 316C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343178",
            "telephone_number": "248-539-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL AND REHABILITATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "BERKOVICH",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-539-8781"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501015068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.