Michigan Rehabilitation & Physical Therapy LLC

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

5501001299 Issued in MI

Legal business name

MICHIGAN REHABILITATION & PHYSICAL THERAPY LLC

Practice address

24261 Greenfield Rd
Suite # B
Southfield, MI 48075-3117

Phone

(248) 569-9254

NPI assigned

Nov 4, 2006

Last updated

Aug 22, 2020By 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

Mr. Ejaz Chaudhry, PTNPI 1578759973

Title

Administrator

Phone

(248) 569-9254

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, and the practitioner matching its NPPES authorized official.

• Ejaz A Chaudhry, P.T.

  • Physical Therapist
  • Southfield, MI
  • NPI 1578759973
  NPD (past) Authorized official
• Stephen Ettore Kronberg, MD

  • Internal Medicine Physician
  • Livonia, MI
  • NPI 1528071818
  NPD (past)

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356420731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "address_2": "SUITE # B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24261 GREENFIELD RD",
            "address_2": "SUITE # B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753117",
            "telephone_number": "248-569-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "EJAZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-569-9254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501001299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Pain Management Consultants, PC
• Michigan Pain Management Consultants, PC
• Michigan Physical Therapy & Rehab Center, Inc.
• Michigan Physical Therapy Services LLC
• Michigan Premier Geriatrics PLLC
• Michigan Resource Services
• Michigan Spine and Brain Surgeons, PLLC
• Michigan Spine and Sports Management P.C.
• Michigan Therapeutic Solutions Inc
• Michigan TMJ Headache Institute

• Geriatric Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Geriatric Physical Therapist 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.