St Mark Rehabilitation and Health Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5501005736 Issued in MI

Legal business name

ST MARK REHABILITATION AND HEALTH SERVICES

Practice address

5601 Aster Dr
Troy, MI 48085-3871

Phone

(248) 650-1984

Fax

(248) 650-1994

NPI assigned

Jul 6, 2006

Last updated

Aug 22, 2020By 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

Samir HannaNPI 1750575486

Title

Owner

Phone

(248) 650-1984

Specialties & licenses 1

Addresses

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.

• Samir Hanna, PH.D. P.T.

  • Physical Therapist
  • Rochester, MI
  • NPI 1750575486
  Authorized official Same address or phone

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326079120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W UNIVERSITY DR",
            "address_2": "SUITE 105",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071951",
            "telephone_number": "248-650-1984",
            "fax_number": "248-650-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 ASTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853871",
            "telephone_number": "248-650-1984",
            "fax_number": "248-650-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARK REHABILITATION AND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-650-1984"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5501005736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Troy, MI
• Providers in Troy, MI by specialty
• Durable Medical Equipment & Medical Supplies 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.