Organization Active NPI

Vanguard Rehab

  • Physical Medicine & Rehabilitation Physician
  • Canton, MI
National Provider Identifier
1265236202
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
VANGUARD REHAB
Practice address
44932 Ford Rd Ste 423
Canton, MI 48187-3357
Phone
(313) 580-1774
Fax
(313) 800-7586
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Melissa A Mafiah, MDNPI 1568857605
Title
Managing Employee
Phone
(313) 580-1774

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

44932 Ford Rd Ste 423
Canton, MI 48187-3357

Mailing address

44932 Ford Rd Ste 423
Canton, MI 48187-3357
Phone (313) 580-1774

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701004351 MI Part B Supplier - Clinic/Group Practice 2466965561 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Locations

42807 Ford Rd
Canton, MI 48187
Phone (248) 957-0006

44932 Ford Rd
Ste 423
Canton, MI 48187
Phone (313) 580-1774

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": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1265236202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44932 FORD RD STE 423",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873357",
            "telephone_number": "313-580-1774",
            "fax_number": "313-800-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44932 FORD RD STE 423",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873357",
            "telephone_number": "313-580-1774",
            "fax_number": "313-800-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "MAFIAH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "313-580-1774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.