NPIMap

Organization Active NPI

Gilead Traumatic Brain & Back Rehab LLC

Doing business as Gilead Rehab,LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1386186617
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GILEAD TRAUMATIC BRAIN & BACK REHAB LLC
Doing business as
Gilead Rehab,LLC
Practice address
17330 Northland Park CT Ste 200
Southfield, MI 48075-4318
Phone
(313) 335-4010
NPI assigned
Nov 17, 2016
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Mr. Blessen SamuelNPI 1356504310
Title
Ceo
Phone
(713) 391-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Clinic/Center 261Q00000X
Physical Therapy Clinic/Center 261QP2000X Primary
Rehabilitation Clinic/Center 261QR0400X
Durable Medical Equipment & Medical Supplies 332B00000X
Private Vehicle 347C00000X

Addresses

Primary practice location

17330 Northland Park CT Ste 200
Southfield, MI 48075-4318

Mailing address

17330 Northland Park CT Ste 200a
Southfield, MI 48075-4325
Phone (248) 281-4961

Other names 1

  • Gilead Rehab,LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2328 E 7 Mile Rd
Ste 3
Detroit, MI 48234
Phone (313) 649-5899

17330 Northland Park Ct
Ste 200
Southfield, MI 48075
Phone (248) 233-6467

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1386186617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT STE 200A",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754325",
            "telephone_number": "248-281-4961",
            "fax_number": "248-415-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754318",
            "telephone_number": "313-335-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD TRAUMATIC BRAIN & BACK REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "BLESSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-391-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilead Rehab,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gilead Rehab,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.