NPIMap

Organization Active NPI

Mobility Plus Rehab Services Inc.

  • Rehabilitation Clinic/Center
  • Troy, MI
National Provider Identifier
1255403598
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MOBILITY PLUS REHAB SERVICES INC.
Practice address
6905 Rochester Rd Ste C
Troy, MI 48085-1282
Phone
(248) 828-1100
Fax
(248) 828-1101
NPI assigned
Nov 14, 2006
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Mr. Sanjay Rattan, RPTNPI 1962612770
Title
Owner
Phone
(248) 828-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6905 Rochester Rd Ste C
Troy, MI 48085-1282

Mailing address

11554 E 12 Mile Rd
Warren, MI 48093-2644
Phone (586) 558-0185

Other practice location 1

29150 Harper Ave
Saint Clair Shores, MI 48081-1218
Phone (586) 779-0911

Other practice location 2

39591 Garfield Rd
Clinton Township, MI 48038-4300
Phone (586) 412-4964

Other practice location 3

11554 E 12 Mile Rd
Warren, MI 48093-2644
Phone (586) 558-0185

Other identifiers 2

IdentifierTypeStateIssuer
16871OtherMIM CARE
30765OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000235 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9638129851 Practice locations: Troy, MI; St Clair Shores, MI; Clinton Township, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255403598. Details of each certification follow.

  • CCN 236785 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236785

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MOBILITY PLUS REHAB SERVICES INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 27, 2001
Last certification
Dec 22, 2021
Ownership / control type
Proprietary
Facility address
6905 Rochester Rd, Suite C
Troy, MI 48085

National Provider Directory

National Provider Directory

Locations

39591 Garfield Rd
Clinton Township, MI 48038
Phone (586) 412-4964

29150 Harper Ave
Saint Clair Shores, MI 48081
Phone (586) 779-0911

29150 Harper Ave
Ste 100
Saint Clair Shores, MI 48081
Phone (586) 779-0911

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1255403598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11554 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932644",
            "telephone_number": "586-558-0185",
            "fax_number": "586-558-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 ROCHESTER RD STE C",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851282",
            "telephone_number": "248-828-1100",
            "fax_number": "248-828-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29150 Harper Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811218",
            "country_code": "US",
            "telephone_number": "586-779-0911",
            "fax_number": "586-779-0907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39591 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480384300",
            "country_code": "US",
            "telephone_number": "586-412-4964",
            "fax_number": "586-412-6995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11554 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480932644",
            "country_code": "US",
            "telephone_number": "586-558-0185",
            "fax_number": "586-558-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOBILITY PLUS REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "RATTAN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-828-1100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M CARE",
            "identifier": "16871",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30765",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.