Organization Active NPI

Devine Physical Therapy and Rehabilitation

  • Occupational Therapist
  • Detroit, MI
National Provider Identifier
1265574305
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201004429 Issued in MI
Legal business name
DEVINE PHYSICAL THERAPY AND REHABILITATION
Practice address
16820 Greenfield Rd
Detroit, MI 48235-3703
Phone
(313) 273-7188
Fax
(313) 273-7228
NPI assigned
Feb 13, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Uche Nwagwu
Title
Director
Phone
(313) 273-7188

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501005927 MI
Occupational Therapist 225X00000X 5201001527 MI
Occupational Therapist 225X00000X 5201004429 MI Primary

Addresses

Primary practice location

16820 Greenfield Rd
Detroit, MI 48235-3703

Mailing address

16820 Greenfield Rd
Detroit, MI 48235-3703
Phone (313) 273-7188

Other identifiers 2

IdentifierTypeStateIssuer
4380561MedicaidMI
30777OtherMIBCBS OF MI FACILITY ID#

National Provider Directory

National Provider Directory

Locations

16820 Greenfield Rd
Detroit, MI 48235
Phone (313) 273-7188

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265574305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16820 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353703",
            "telephone_number": "313-273-7188",
            "fax_number": "313-273-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16820 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353703",
            "telephone_number": "313-273-7188",
            "fax_number": "313-273-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINE PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NWAGWU",
        "authorized_official_first_name": "UCHE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-273-7188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005927",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001527",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4380561",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI FACILITY ID#",
            "identifier": "30777",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.