Rehabilitation Professionals of Michigan, PLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

REHABILITATION PROFESSIONALS OF MICHIGAN, PLC

Practice address

22632 Ridgeway St
Saint Clair Shores, MI 48080-1476

Phone

(586) 945-4658

Fax

(586) 777-9232

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Eaton, MD

Title

President / Owner

Phone

(586) 945-4658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1205936275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22632 RIDGEWAY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801476",
            "telephone_number": "586-945-4658",
            "fax_number": "586-777-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22632 RIDGEWAY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801476",
            "telephone_number": "586-945-4658",
            "fax_number": "586-777-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION PROFESSIONALS OF MICHIGAN, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "586-945-4658",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kala Ravi, DVM
• Valiya V Ravi, MD
• Natalie Raymond, RD
• Rehab Associate Inc
• Rehabilitation Masters PC
• Eileen Margaret Reickert, MD
• David P. Renaud, D.D.S.
• Ashley Renock, LMSW
• Katerina Renusch
• Resilient Home Care Services LLC

• Physical Medicine & Rehabilitation Physician in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.