NPIMap

Organization Active NPI

Integrated Rehabilitation Services, LLC

  • Speech-Language Pathologist
  • Plymouth, MI
National Provider Identifier
1265919633
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101003354 Issued in MI
Legal business name
INTEGRATED REHABILITATION SERVICES, LLC
Doing business as
Integrated Rehabilitation Services, LLC
Practice address
10155 Tennyson Dr
Plymouth, MI 48170-3647
Phone
(734) 416-3882
Fax
(866) 718-3006
NPI assigned
Jul 27, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Marcia Lynne Smith, MS, CCC-SLPNPI 1770070062
Title
Owner
Phone
(248) 252-6064

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 7101003354 MI Primary

Addresses

Primary practice location

10155 Tennyson Dr
Plymouth, MI 48170-3647

Mailing address

10155 Tennyson Dr
Plymouth, MI 48170-3647
Phone (734) 416-3882

Other names 1

  • Integrated Rehabilitation Services, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190904002006 MI Part B Supplier - Clinic/Group Practice 9032448873 Receives reassigned benefits from 12 practitioners
Practice locations: Plymouth, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1265919633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 TENNYSON DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703647",
            "telephone_number": "734-416-3882",
            "fax_number": "866-718-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 TENNYSON DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703647",
            "telephone_number": "734-416-3882",
            "fax_number": "866-718-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-252-6064",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Rehabilitation Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.