Organization Active NPI

Michigan Rehabilitation Specialists of Brighton LLC

  • Physical Therapist
  • Brighton, MI
National Provider Identifier
1245487446
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MICHIGAN REHABILITATION SPECIALISTS OF BRIGHTON LLC
Practice address
10415 Grand River Rd
Suite 300
Brighton, MI 48116-6533
Phone
(810) 229-6140
Fax
(810) 229-6145
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Rodney P. Goble, MPT
Title
Co-Owner
Phone
(810) 231-6904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

10415 Grand River Rd
Suite 300
Brighton, MI 48116-6533

Mailing address

10415 Grand River Rd
Suite 300
Brighton, MI 48116-6533
Phone (810) 229-6140

National Provider Directory

National Provider Directory

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1245487446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD",
            "address_2": "SUITE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-229-6140",
            "fax_number": "810-229-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD",
            "address_2": "SUITE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-229-6140",
            "fax_number": "810-229-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION SPECIALISTS OF BRIGHTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "810-231-6904",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.