Organization Active NPI

New Vision Rehab Center Inc

  • Pain Medicine Physician
  • Warren, MI
National Provider Identifier
1235699646
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
NEW VISION REHAB CENTER INC
Practice address
13087 E 11 Mile Rd
Warren, MI 48088-4795
Phone
(585) 393-5041
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Ebony Burke
Title
Coo
Phone
(586) 393-5041

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XS0117X
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X Primary
Rehabilitation CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225C00000X

Addresses

Primary practice location

13087 E 11 Mile Rd
Warren, MI 48088-4795

Mailing address

13087 E 11 Mile Rd
Warren, MI 48088-4795
Phone (585) 393-5041

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1235699646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13087 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884795",
            "telephone_number": "585-393-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13087 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884795",
            "telephone_number": "585-393-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION REHAB CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "586-393-5041"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2019; 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.