Bridge Rehabilitation Center LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRIDGE REHABILITATION CENTER LLC

Practice address

830 E 4TH St Ste 1
Royal Oak, MI 48067-2800

Phone

(800) 727-7859

Fax

(800) 787-7169

NPI assigned

Apr 22, 2020

Last updated

Jan 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sonia Shah, BS BSN CCM

Title

Director

Phone

(800) 787-8129

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1275153918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 JOHN R RD # 302",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834542",
            "telephone_number": "800-787-8129",
            "fax_number": "800-787-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E 4TH ST STE 1",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672800",
            "telephone_number": "800-727-7859",
            "fax_number": "800-787-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-787-8129",
        "authorized_official_credential": "BS BSN CCM"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.bridgerehabilitationcenter.com",
            "affiliation": "N",
            "address_1": "830 E 4th St Ste 1",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480672800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Travis Brege, MD
• Mallory Breish
• Nate Bremer, PT, DPT
• Patrick R Brennan, PT, DPT
• Jennifer Brenner, CRNA
• Kayla Bridges, RD-AP, CSP, CNSC
• Bright Path Home Care of Michigan LLC
• Brightside Health, Inc.
• Brenda Basel Brikho
• Stefan Brink, ND, OMD

• Home Health Agency in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.