Organization Active NPI

Vestibular Rehab Institute of Michigan

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1417380569
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009768 Issued in MI
Legal business name
VESTIBULAR REHAB INSTITUTE OF MICHIGAN
Practice address
6014 W Maple Rd Ste B
West Bloomfield, MI 48322-2212
Phone
(248) 855-1154
Fax
(248) 855-7458
NPI assigned
Aug 13, 2013
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Bejoice Thomas, PT
Title
Therapist
Phone
(248) 855-1154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501009768 MI Primary

Addresses

Primary practice location

6014 W Maple Rd Ste B
West Bloomfield, MI 48322-2212

Mailing address

6014 W Maple Rd Ste B
West Bloomfield, MI 48322-2212
Phone (248) 855-1154

Other identifiers 1

IdentifierTypeStateIssuer
0H70870OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

6014 W Maple Rd
Ste B
West Bloomfield, MI 48322
Phone (248) 855-1154

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1417380569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 W MAPLE RD STE B",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222212",
            "telephone_number": "248-855-1154",
            "fax_number": "248-855-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 W MAPLE RD STE B",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222212",
            "telephone_number": "248-855-1154",
            "fax_number": "248-855-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTIBULAR REHAB INSTITUTE OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BEJOICE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-855-1154",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H70870",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.