St Mary Rehabilitation Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ST MARY REHABILITATION SERVICES LLC

Practice address

18311 W Warren Ave
Detroit, MI 48228-3428

Phone

(313) 982-0002

Fax

(313) 982-0004

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Amir Nawar, PT, PES,CINPI 1528259850

Title

Owner

Phone

(586) 977-0001

Specialties & licenses 1

Addresses

Tax ID family

St Mary Rehabilitation Services2 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.

• St. Mary Rehabilitation Services L.L.C

  • Physical Therapy Clinic/Center
  • Clinton TWP, MI
  • NPI 1275724502
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amir Nagy Nawar, P.T.

  • Physical Therapist
  • Troy, MI
  • NPI 1528259850
  NPD Authorized official
• Saumeen Kanaiyalal Shah

  • Physical Therapist
  • Detroit, MI
  • NPI 1124315940
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1235407677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CRIMSON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835505",
            "telephone_number": "313-982-0002",
            "fax_number": "313-982-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18311 W WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283428",
            "telephone_number": "313-982-0002",
            "fax_number": "313-982-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "NAWAR",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-977-0001",
        "authorized_official_credential": "PT, PES,CI"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St John Providence Health Systems
• St John Senior Community
• St John Senior Community
• Ginger Ann St John, LMSW
• St Mary Mercy Physician Practices
• St. John Detroit Riverview
• St. John Detroit Riverview
• St. John Detroit Riverview
• St. John Emergency Physicians, P. C.
• St. John Emergency Services PC

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.