Neulife Rehabilitation of Michigan, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

NEULIFE REHABILITATION OF MICHIGAN, INC.

Practice address

1409 Allen Dr Ste G
Troy, MI 48083-4003

Phone

(586) 300-5866

NPI assigned

Dec 15, 2021

Last updated

Apr 24, 2025By 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

Patrick Glenn Kelley

Title

Ceo

Phone

(502) 558-8312

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 2

Tax ID family

Neulife Rehabilitation of Michigan Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Neulife Rehabilitation of Michigan, Inc.

  • Rehabilitation Clinic/Center
  • Troy, MI
  • NPI 1972390524
  NPD tax ID

Locations

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1356000434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36975 UTICA RD STE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361685",
            "telephone_number": "502-558-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 ALLEN DR STE G",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834003",
            "telephone_number": "586-300-5866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36975 Utica Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480361685",
            "country_code": "US",
            "telephone_number": "502-558-8312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEULIFE REHABILITATION OF MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-558-8312"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "progressionsadmin@progressionscare.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email and Fax",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Info to Guardians and Physicians",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Protected Docum",
            "address_1": "36975 Utica Rd Ste 102",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480361685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstasiw@neuliferehabmi.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "1409 Allen Dr Ste G",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480834003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicja Bernarda Nerga, M.D.
• Connie Nesbary, LLP
• Jessica D. Nespolo, LMSW
• Dushan Nestor, MD
• Thomas Joseph Neuens, PA-C
• Neulife Rehabilitation of Michigan, Inc.
• Jacqueline Neumayr, PA-C
• Neuro Wellness Institute PC
• Neurodynamic Physical Therapy LLC
• Neuromindful LLC

• Foster Care Agency in Troy, MI
• Providers in Troy, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.