NPIMap

Organization Active NPI

Special Tree Rehabilitation Services LTD

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Romulus, MI
National Provider Identifier
1295773281
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
824330 Issued in MI
Legal business name
SPECIAL TREE REHABILITATION SERVICES LTD
Practice address
10909 Hannan Rd
Romulus, MI 48174-1383
Phone
(734) 893-1000
Fax
(734) 893-1332
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Authorized official

Name
Lakisha Ford
Title
Medical Biller
Phone
(248) 951-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 824330 MI Primary

Addresses

Primary practice location

10909 Hannan Rd
Romulus, MI 48174-1383

Mailing address

16018 S Huron River Dr
Romulus, MI 48174-3619
Phone (248) 951-4042

Other names 1

  • Special Tree Neuro Skills Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5889 Bay Rd
Ste 100
Saginaw, MI 48604
Phone (248) 951-4042

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643932800000",
    "number": "1295773281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16018 S HURON RIVER DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743619",
            "telephone_number": "248-951-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 HANNAN RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481741383",
            "telephone_number": "734-893-1000",
            "fax_number": "734-893-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL TREE REHABILITATION SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "248-951-4042"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MI",
            "license": "824330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Tree Neuro Skills Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Special Tree Neuro Skills Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Romulus, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.