Spine Rehab PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009698 Issued in MI

Legal business name

SPINE REHAB PLLC

Practice address

13323 Michigan Ave
Dearborn, MI 48126-3540

Phone

(313) 874-3130

NPI assigned

Mar 20, 2015

Organization subpart

No

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

Authorized official

Name

Rania Nassar

Title

Billing/Manager

Phone

(313) 874-3130

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riyad Almasmari, D.C.

  • Chiropractor
  • Dearborn, MI
  • NPI 1578911954
  Medicare reassignment
• Khalid Almasmari, DC

  • Chiropractor
  • Hamtramck, MI
  • NPI 1639392707
  NPD

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1255725867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13233 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-874-3130",
            "fax_number": "313-874-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13323 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263540",
            "telephone_number": "313-874-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "RANIA",
        "authorized_official_title_or_position": "BILLING/MANAGER",
        "authorized_official_telephone_number": "313-874-3130"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H27336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Spencer
• Rodney E Spencer, MA, LLP, LMSW
• Jeffrey Wallace Spier, M.A., L.L.P., CEAP
• Spinal Therapeutics Corp.
• Spinal Therapeutics, Inc
• Spinemd of Michigan, PLLC
• Janice Springer, NNP
• Vaishnavi Srivatsan, PT
• Aseel Srour
• Fadia Ali Srour

• Chiropractor in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.