Active NPI
Therapeutic Rehabilitation Center
- Rehabilitation Clinic/Center
- Livonia, MI
National Provider Identifier
1245478411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.