Professional Rehab Services Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL REHAB SERVICES INC.

Doing business as

Thibodeau Physical Therapy

Practice address

4233 Main Street
Brown City, MI 48416

Phone

(810) 346-4036

Fax

(810) 346-4084

NPI assigned

Nov 1, 2006

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

PROFESSIONAL REHAB SERVICES INC.As reported in NPPES

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

Authorized official

Name

Janna P. King, JD

Title

VP/Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Other names 1

• Thibodeau Physical Therapy Doing business as

Tax ID family

Professional Rehab Serv2 organizations share this tax ID, including this one

Part of

Professional Rehab Serv

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwood Physical Therapy Limited Partnership

  • Physical Therapist
  • Williamsburg, MI
  • NPI 1609987981
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Professional Rehab Services Inc.

  dba Evergreen Physical Therapy (Reed City)

  • Physical Therapy Clinic/Center
  • Reed City, MI
  • NPI 1588777429
  NPPES parent name

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1427136902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 MAIN STREET",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "48416",
            "telephone_number": "810-346-4036",
            "fax_number": "810-346-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHAB SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL REHAB SERVICES INC.",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thibodeau Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Metzger, M.A., CCC-SLP
• Daniel James O'Connor, D.D.S.
• Stacy Lynn Oliver, FNP
• Kayla Parr
• Kelly Jo Pavel, MA, LLPC
• Robert T Brengel DO & Olan C Dombroske DO, PTRS
• Kimberly L Verellen, PA-C
• Taylor A Wood

• Physical Therapist in Brown City, MI
• Providers in Brown City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.