Great Lakes Physical Medicine & Rehabilitation PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GREAT LAKES PHYSICAL MEDICINE & REHABILITATION PC

Practice address

3247 Biddle Ave
Wyandotte, MI 48192-5951

Phone

(734) 287-3000

Fax

(734) 287-3113

NPI assigned

Jun 27, 2007

Last updated

Aug 12, 2022By 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

Dr. Anne M Abrahamson, MDNPI 1003870148

Title

Owner/Physician

Phone

(734) 287-3000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

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.

• Anne M Abrahamson, MD

  • Physical Medicine & Rehabilitation Physician
  • Wyandotte, MI
  • NPI 1003870148
  Medicare reassignment Care Compare group Authorized official
• Jensen Swampillai, DO

  • Physical Medicine & Rehabilitation Physician
  • East Lansing, MI
  • NPI 1891287686
  Medicare reassignment Care Compare group NPD
• Violette Abellera Concepcion

  • Nurse Practitioner
  • Southfield, MI
  • NPI 1447813092
  Medicare reassignment NPD
• Kristen Pawloski, NP

  • Acute Care Nurse Practitioner
  • Trenton, MI
  • NPI 1295121937
  Medicare reassignment NPD
• Anne Marie Zahn, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Wyandotte, MI
  • NPI 1801247994
  Medicare reassignment NPD
• Brett Sassack, DO

  • Physical Medicine & Rehabilitation Physician
  • Ann Arbor, MI
  • NPI 1588239776
  Care Compare group
• Tracie Lea Donigian, ANP-BC

  • Adult Health Nurse Practitioner
  • Wyandotte, MI
  • NPI 1700173903
  NPD

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1346447026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925951",
            "telephone_number": "734-287-3000",
            "fax_number": "734-287-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 BIDDLE AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925951",
            "telephone_number": "734-287-3000",
            "fax_number": "734-287-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES PHYSICAL MEDICINE & REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "734-287-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Al DG Mandeoya Grande, OTRL
• Alicia Paulette Gray, DO
• Samuel Allen Gray
• Great Lakes Pain Management MD, PC
• Great Lakes Pharmacy LLC
• Great Lakes Physical Medicine and Rehabilitation
• Bradley Allen Green, CRNA, MS
• Joshua C. Greenberg, M.D.
• Alexander Antonio Grimaldi, D.O.
• Shelby Morgan Groat

• Physical Medicine & Rehabilitation Physician in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.

Verify at the official NPI Registry.