Active NPI
Total Knee Accelerated Recovery DME, LLC
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
National Provider Identifier
1306249677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TOTAL KNEE ACCELERATED RECOVERY DME, LLC
- Practice address
- 21238 Bridge St Ste B
Southfield, MI 48033-4089 - Phone
- (248) 550-0497
- Fax
- (614) 300-1420
- NPI assigned
- Oct 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Ewing
- Title
- Ceo
- Phone
- (248) 550-0497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
21238 Bridge St Ste B
Southfield, MI 48033-4089
Mailing address
21238 Bridge St Ste B
Southfield, MI 48033-4089
Phone (248) 550-0497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150606000135 | MI | DME Supplier - Medical Supply Company | 8921329632 | Practice locations: Novi, MI |
National Provider Directory
National Provider DirectoryLocations
32800 Franklin Rd
Ste C
Franklin, MI 48025
40400 Grand River Ave
Ste G
Novi, MI 48375
21238 Bridge St
Ste B
Southfield, MI 48033
Phone (248) 550-0497
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Lansing, MI
- NPI 1619376407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635897600000",
"number": "1306249677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21238 BRIDGE ST STE B",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480334089",
"telephone_number": "248-550-0497",
"fax_number": "614-300-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21238 BRIDGE ST STE B",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480334089",
"telephone_number": "248-550-0497",
"fax_number": "614-300-1420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL KNEE ACCELERATED RECOVERY DME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-01",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A",
"authorized_official_last_name": "EWING",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "248-550-0497",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
- Randy Scott Torres Jr., FNP-C
- Total Attending Care Services, LLC
- Total Care Home Health Services, Inc
- Total Health Care Management
- Total Home Health Aide Services
- Total Living Home Health Care Service, Inc.
- Total Recovery Physical Therapy
- Total Recovery Physical Therapy LLC
- Total Toxicology Labs LLC
- Total Transportation 1, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.