Organization Active NPI

Monroerehabconnection LLC

  • Physical Therapy Clinic/Center
  • Monroe, MI
National Provider Identifier
1346294287
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501004877 Issued in MI
Legal business name
MONROEREHABCONNECTION LLC
Practice address
1038 N Monroe St
Monroe, MI 48162-3113
Phone
(734) 242-0101
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mr. Jaroslaw Andrzej Latala, PT
Title
Single Memberowner
Phone
(734) 242-0101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501004877 MI Primary

Addresses

Primary practice location

1038 N Monroe St
Monroe, MI 48162-3113

Mailing address

1038 N Monroe St
Monroe, MI 48162-3113
Phone (734) 242-0101

National Provider Directory

National Provider Directory

Locations

1038 N Monroe St
Monroe, MI 48162
Phone (734) 242-0101

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1346294287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-242-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623113",
            "telephone_number": "734-242-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROEREHABCONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "LATALA",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_middle_name": "ANDRZEJ",
        "authorized_official_title_or_position": "SINGLE MEMBEROWNER",
        "authorized_official_telephone_number": "734-242-0101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501004877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.