NPIMap

Organization Active NPI

Michigan Rehab Resources, Inc.

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1255413530
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
KR006095 Issued in MI
Legal business name
MICHIGAN REHAB RESOURCES, INC.
Practice address
24077 Watercrest CT
Farmington Hills, MI 48336-2716
Phone
(248) 888-1263
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Karpagam Raghunathan
Title
Physical Therapists
Phone
(248) 888-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X KR006095 MI Primary

Addresses

Primary practice location

24077 Watercrest CT
Farmington Hills, MI 48336-2716

Mailing address

24077 Watercrest CT
Farmington Hills, MI 48336-2716

Other identifiers 1

IdentifierTypeStateIssuer
4370313MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070915000083 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012001589 Receives reassigned benefits from 3 practitioners
Practice locations: Southfield, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1255413530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 WATERCREST CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 WATERCREST CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483362716",
            "telephone_number": "248-888-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHAB RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "RAGHUNATHAN",
        "authorized_official_first_name": "KARPAGAM",
        "authorized_official_title_or_position": "PHYSICAL THERAPISTS",
        "authorized_official_telephone_number": "248-888-1263"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "KR006095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4370313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.