Organization Active NPI

Courageous Rehab and Wellness, LLC

  • Physical Therapist
  • Monroe, MI
National Provider Identifier
1215613666
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COURAGEOUS REHAB AND WELLNESS, LLC
Practice address
5931 Bluebush Rd
Monroe, MI 48162-9115
Phone
(734) 735-2421
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Emily Neal, DPTNPI 1154848091
Title
Managing Member/Owner
Phone
(734) 735-2421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5931 Bluebush Rd
Monroe, MI 48162-9115

Mailing address

5931 Bluebush Rd
Monroe, MI 48162-9115
Phone (734) 735-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808002320 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193187110 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1215613666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5931 BLUEBUSH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629115",
            "telephone_number": "734-735-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5931 BLUEBUSH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629115",
            "telephone_number": "734-735-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS REHAB AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "734-735-2421",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.