New Center Rehabilitation, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005927 Issued in MI

Legal business name

NEW CENTER REHABILITATION, INC

Practice address

23100 Providence Dr
Suite 135
Southfield, MI 48075-3646

Phone

(248) 905-5180

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Victor Jayasundera, RPT

Title

Partner

Phone

(248) 905-5180

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johanna E Mastry, RPT

  • Physical Therapist
  • Southfield, MI
  • NPI 1942551528
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1407018351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23100 PROVIDENCE DR",
            "address_2": "SUITE 135",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753646",
            "telephone_number": "248-905-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23100 PROVIDENCE DR",
            "address_2": "SUITE 135",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753646",
            "telephone_number": "248-905-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW CENTER REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "JAYASUNDERA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "248-905-5180",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.