Jackson Rehab Specialists LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JACKSON REHAB SPECIALISTS LLC

Practice address

1925 Springport Rd Apt 2
Jackson, MI 49202-1466

Phone

(248) 884-3824

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 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

Shareen Challapalli

Title

Owner

Phone

(248) 884-3824

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1285417394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 SPRINGPORT RD APT 2",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 SPRINGPORT RD APT 2",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021466",
            "telephone_number": "248-884-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON REHAB SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CHALLAPALLI",
        "authorized_official_first_name": "SHAREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-884-3824"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Orthopedics Specialist
• Jackson Pathology Associates, PC
• Jackson Pediatric Dentistry PC
• Jackson Radiology Consultants, P C
• Jackson Rehab Services LLC
• Jackson Urgent Care PLLC
• Jackson Vision LLC (Jackson Vision)
• Jackson-Hillsdale Community Mental Health Board (Lifeways)
• Jackson-Hillsdale Community Mental Health Board (Lifeways)
• Jackson-Hillsdale Community Mental Health Board (LifeWays)

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.