Active NPI
Bruce J Rabey, PT
- Physical Therapist
- Livonia, MI
National Provider Identifier
1396974184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 501010245
- Practice address
- 31545 Haldane St
Livonia, MI 48152-1557 - Phone
- (248) 477-0079
- NPI assigned
- Jul 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 501010245 | MI | Primary |
Addresses
Primary practice location
31545 Haldane St
Livonia, MI 48152-1557
Mailing address
31545 Haldane St
Livonia, MI 48152-1557
Phone (248) 477-0079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501010245 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1396974184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31545 HALDANE ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521557",
"telephone_number": "248-477-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31545 HALDANE ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521557",
"telephone_number": "248-477-0079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABEY",
"first_name": "BRUCE",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "501010245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.