Willowbrook Rehabilitation Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WILLOWBROOK REHABILITATION SERVICES, LLC

Practice address

7200 Challis Rd
Brighton, MI 48116-7411

Phone

(810) 227-0119

Fax

(810) 227-0801

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Monica Van Acker

Title

Program Director

Phone

(810) 227-0119

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Outpatient physical therapy / speech pathology certification: CCN 236671

Legal name

WILLOWBROOK REHABILITATION SERVICE

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Mar 2, 1995

Last certification

Apr 12, 2019

Ownership / control type

Proprietary

Facility address

7200 Challis Rd
Brighton, MI 48116

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1346375201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CHALLIS RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167411",
            "telephone_number": "810-227-0119",
            "fax_number": "810-227-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CHALLIS RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481167411",
            "telephone_number": "810-227-0119",
            "fax_number": "810-227-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "VAN ACKER",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "810-227-0119"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "30623",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William P. Horal, DDS, P.C.
• Jala S Williams
• Lisa Williams
• Marilyn Beth Williams, MD
• Shelby Williams
• Latonya Wilson, LLMSW
• Tara L Wilson, DDS
• Makayla Rose Wiltse
• Wine Holistic Health Center PLLC
• Jeffery Wing

• Physical Therapist in Brighton, MI
• Providers in Brighton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.