Organization Active NPI

Med Care Rehab, LLC

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1407730211
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MED CARE REHAB, LLC
Practice address
6031 19 Mile Rd Ste a
Sterling Heights, MI 48314-2181
Phone
(586) 576-7965
Fax
(586) 510-4921
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Mr. Ericson Villanueva, PTNPI 1881807741
Title
Owner
Phone
(248) 250-4486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

6031 19 Mile Rd Ste a
Sterling Heights, MI 48314-2181

Mailing address

318 John R Rd # 372
Troy, MI 48083-4542
Phone (586) 476-7965

Other practice location 1

24500 Northwestern Hwy Ste 110
Southfield, MI 48075-2402
Phone (248) 796-7232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260529002930 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820568926 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

24500 Northwestern Hwy
Ste 110
Southfield, MI 48075
Phone (248) 796-7232

318 John R Rd
Troy, MI 48083
Phone (519) 999-9964

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1407730211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 JOHN R RD # 372",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834542",
            "telephone_number": "586-476-7965",
            "fax_number": "586-510-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 19 MILE RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142181",
            "telephone_number": "586-576-7965",
            "fax_number": "586-510-4921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24500 Northwestern Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480752402",
            "country_code": "US",
            "telephone_number": "248-796-7232",
            "fax_number": "248-327-6877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MED CARE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "ERICSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-250-4486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.