Organization Active NPI

Viviani Spinal Rehabilitation

  • Clinic/Center
  • Warren, MI
National Provider Identifier
1225238397
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2301005734 Issued in MI
Legal business name
VIVIANI SPINAL REHABILITATION
Practice address
25308 Mound Rd
Warren, MI 48091-3858
Phone
(586) 757-6814
Fax
(586) 757-6816
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. Terry Albert Viviani, DCNPI 1285756890
Title
Owner
Phone
(586) 757-6814

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
Clinic/Center 261Q00000X 2301005734 MI Primary

Addresses

Primary practice location

25308 Mound Rd
Warren, MI 48091-3858

Mailing address

25308 Mound Rd
Warren, MI 48091-3858
Phone (586) 757-6814

Other identifiers 2

IdentifierTypeStateIssuer
950EO53150OtherMIBLUE CROSS BLUE SHIELD PR
2301005734OtherMISTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

25308 Mound Rd
Warren, MI 48091
Phone (586) 757-6814

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1225238397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25308 MOUND RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913858",
            "telephone_number": "586-757-6814",
            "fax_number": "586-757-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25308 MOUND RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913858",
            "telephone_number": "586-757-6814",
            "fax_number": "586-757-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIANI SPINAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "VIVIANI",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-757-6814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "2301005734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PR",
            "identifier": "950EO53150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2301005734",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.