Organization Active NPI

United Rehab Michigan, Inc.

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1275711228
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED REHAB MICHIGAN, INC.
Practice address
261 W Canford Park
Canton, MI 48187-6667
Phone
(248) 935-3364
Fax
(734) 983-0575
NPI assigned
Feb 1, 2008
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Jacob Chacko, P.T.NPI 1386822344
Title
Owner
Phone
(248) 935-3364

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
Physical Therapist 225100000X Primary

Addresses

Primary practice location

261 W Canford Park
Canton, MI 48187-6667

Mailing address

261 W Canford Park
Canton, MI 48187-6667

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1275711228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W CANFORD PARK",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W CANFORD PARK",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876667",
            "telephone_number": "248-935-3364",
            "fax_number": "734-983-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-935-3364",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 19, 2009; 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.