Michigan Rehabilitation Specialists of Fowlerville, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE, LLC

Practice address

7057 Dexter Ann Arbor Rd
Dexter, MI 48130-8568

Phone

(734) 426-3768

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By 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

Katie Watkins

Title

Director of Credentialing

Phone

(630) 296-2222

Specialties & licenses 1

Addresses

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Athletic and Therapeutic Institute of Naperville,LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Chicago, IL
  • NPI 1205924354

  Member Of

  NPD member
• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Forest Hill, MD
  • NPI 1013109099

  Member Of

  NPD member

Locations (25 of 43)

Practitioners 259

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.

• Eliza Abbasi, DPT

  • Physical Therapist
  • Waterford, MI
  • NPI 1003110958
  NPD
• Cheryl Ambroza, PT

  • Physical Therapist
  • Dexter, MI
  • NPI 1144512658
  NPD
• Jordan Amodeo, DPT

  • Physical Therapist
  • Novi, MI
  • NPI 1811310568
  NPD
• Siddhartha Loknath Anchan, PT

  • Physical Therapist
  • Garden City, MI
  • NPI 1710286091
  NPD
• Jeffrey Thomas Andres, PT

  • Physical Therapist
  • Lansing, MI
  • NPI 1023103132
  NPD
• Sidharth Anneboina, PT

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1659683407
  NPD
• Ravi Arya

  • Physical Therapist
  • Southfield, MI
  • NPI 1841605854
  NPD
• Taylor Atkinson

  • Physical Therapist
  • Lansing, MI
  • NPI 1396406591
  NPD
• Samantha Marie Austin, DPT

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1467090225
  NPD
• Norton Bahoura, PT, DPT

  • Physical Therapist
  • West Bloomfield, MI
  • NPI 1962940494
  NPD
• Kevin Anthony Bazan, D.P.T.

  • Physical Therapist
  • Saint Johns, MI
  • NPI 1912447244
  NPD
• Ryan Bean, PT, DPT, OMPT, OCS

  • Physical Therapist
  • Davison, MI
  • NPI 1922067974
  NPD

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1407525892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 DEXTER ANN ARBOR RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308568",
            "telephone_number": "734-426-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "630-296-2222"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema Mehta, DO
• Meribeth Gandy Pezda LLC
• Morgan Michael, LMSW
• Michigan Center for Adult Psychotherapy (Great Lakes Mental Health)
• Michigan Rehabilitation Specialists of Dexter LLC (Michigan Rehabilitation Specialists)
• Erin Miley
• Alexis Kay Miller, LMSW
• Jane Mitchell, RN
• Jennifer Elaine Mitchell, LPC, CCS, CAADC
• Mary Elizabeth Moenssen, D.D.S., M.S.

• Durable Medical Equipment & Medical Supplies in Dexter, MI
• Providers in Dexter, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.