Octagon Rehab Services, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

23-6822 Issued in MI

Legal business name

OCTAGON REHAB SERVICES, INC

Practice address

42803 Schoolcraft Rd
Plymouth, MI 48170-2697

Phone

(734) 542-3150

Fax

(734) 542-3661

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Babloo Chacko

Title

Administrator

Phone

(734) 542-3150

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mahimai A Arul

  • Physical Therapist
  • Warren, MI
  • NPI 1689803777
  NPD (past)
• Samynathan Thirunavukkarasu, P.T

  • Physical Therapist
  • Canton, MI
  • NPI 1255482626
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326150665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42803 SCHOOLCRAFT RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702697",
            "telephone_number": "734-542-3150",
            "fax_number": "734-542-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42803 SCHOOLCRAFT RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702697",
            "telephone_number": "734-542-3150",
            "fax_number": "734-542-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAGON REHAB SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "BABLOO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-542-3150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MI",
            "license": "23-6822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakwood Healthcare Group I, LLC
• Oakwood Healthcare Group I, LLC
• Adam Obaid
• Doug J Obryan, D.C.
• Lauren Ochs
• Diane Odell
• Jacob Offerman
• Tyler Ogrady
• Oluwatosin Ogunjobi
• Obiageli N Okafor, M.S.

• Rehabilitation Clinic/Center in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Rehabilitation Clinic/Center 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.