Southeast Rehabilitation and Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOUTHEAST REHABILITATION AND PHYSICAL THERAPY INC.

Practice address

26771 W 12 Mile Rd Ste 103
Southfield, MI 48034-1539

Phone

(248) 945-9905

Fax

(248) 945-9906

NPI assigned

Jun 3, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sanjay Uppal, P.T, MHSNPI 1508827544

Title

Partner

Phone

(248) 945-9905

Specialties & licenses 1

Addresses

Other names 1

• SOUTHEAST REHABILITATION Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Sanjay Uppal, P.T, MHS

  • Physical Therapist
  • Southfield, MI
  • NPI 1508827544
  Medicare reassignment NPD Authorized official
• Archana Uppal, P.T, MHS

  • Physical Therapist
  • Southfield, MI
  • NPI 1871554816
  Medicare reassignment NPD
• Leah Marie Alessandri-Moore, PT

  • Physical Therapist
  • Troy, MI
  • NPI 1255380390
  NPD (past)
• Joan Christine Sacksteder, P.T.

  • Physical Therapist
  • Southfield, MI
  • NPI 1457312167
  NPD (past)

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306048210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-945-9905",
            "fax_number": "248-945-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-945-9905",
            "fax_number": "248-945-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST REHABILITATION AND PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-945-9905",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T, MHS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHEAST REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soul Grace Coaching Co,
• Sound Health
• South Field Rehabiltation Company
• Anthony Southall, MD
• Southeast Home Health Care, L.L.C
• Southfield Center for Intergrated Musculoskeletal Injury PC
• Southfield City Urgent Care PC
• Southfield Dental Care P.C.
• Southfield Dental Center PC
• Southfield Dental PLLC

• Physical Therapist in Southfield, MI
• Providers in Southfield, 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 22, 2020; 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.