NPIMap

Organization Active NPI

Prime Rehab Services, LLC

  • Physical Therapist
  • Dearborn, MI
National Provider Identifier
1407277320
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRIME REHAB SERVICES, LLC
Practice address
4953 Schaefer Rd
Dearborn, MI 48126-3260
Phone
(313) 436-4760
NPI assigned
Dec 18, 2013
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Mr. Joseph Ruefiel
Title
Admin
Phone
(313) 436-4760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4953 Schaefer Rd
Dearborn, MI 48126-3260

Mailing address

4953 Schaefer Rd
Dearborn, MI 48126-3260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1407277320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263260",
            "telephone_number": "313-436-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "RUEFIEL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "313-436-4760",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.