Organization Active NPI

Therapeutic Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Livonia, MI
National Provider Identifier
1245478411
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THERAPEUTIC REHABILITATION CENTER
Practice address
37775 Pembroke Ave
Livonia, MI 48152-1053
Phone
(734) 779-0717
Fax
(248) 540-5992
NPI assigned
Jan 27, 2009
Last updated
Jan 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Mr. Eric Wolfe
Title
Treasurer
Phone
(248) 723-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

37775 Pembroke Ave
Livonia, MI 48152-1053

Mailing address

37775 Pembroke Ave
Livonia, MI 48152-1053
Phone (734) 779-0717

National Provider Directory

National Provider Directory

Locations

37775 Pembroke Ave
Livonia, MI 48152
Phone (734) 432-3133

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1245478411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37775 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521053",
            "telephone_number": "734-779-0717",
            "fax_number": "248-540-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37775 PEMBROKE AVE",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521053",
            "telephone_number": "734-779-0717",
            "fax_number": "248-540-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "248-723-0002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.