Organization Active NPI

Complete Rehab LLC

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
National Provider Identifier
1437142783
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
COMPLETE REHAB LLC
Practice address
16655 15 Mile Rd
Suite B
Clinton Township, MI 48035
Phone
(586) 792-0970
NPI assigned
Aug 23, 2005
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Ali M Rathur
Title
Cco
Phone
(248) 649-3755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

16655 15 Mile Rd
Suite B
Clinton Township, MI 48035

Mailing address

1380 Coolidge Hwy Ste L50
Troy, MI 48084-7069
Phone (248) 649-3755

Other identifiers 3

IdentifierTypeStateIssuer
236641OtherHAP
30660OtherBCBS MI
7436128OtherAETNA

National Provider Directory

National Provider Directory

Locations

16655 15 Mile Rd
Ste B
Clinton Twp, MI 48035
Phone (586) 792-0970

42645 Garfield Rd
Ste 104
Clinton Twp, MI 48038

28569 Schoenherr Rd
Warren, MI 48088
Phone (248) 809-2092

Practitioners & affiliated clinicians

Practitioners 6

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": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1437142783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 COOLIDGE HWY STE L50",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847069",
            "telephone_number": "248-649-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16655 15 MILE RD",
            "address_2": "SUITE B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "586-792-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "RATHUR",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "248-649-3755"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "236641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "30660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7436128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.