Organization Active NPI

Rehabilitation Restoration Relazation Station Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Grand Rapids, MI
National Provider Identifier
1437226545
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
REHABILITATION RESTORATION RELAZATION STATION INC.
Practice address
1152 Burton St SE
Grand Rapids, MI 49507-3359
Phone
(616) 475-7830
NPI assigned
Nov 30, 2006
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Mrs. Paula Lynette Hawkins, BSOTR
Title
Occupational Therapist
Phone
(616) 475-7830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

1152 Burton St SE
Grand Rapids, MI 49507-3359

Mailing address

1152 Burton St SE
Grand Rapids, MI 49507-3359
Phone (616) 475-7830

Other identifiers 1

IdentifierTypeStateIssuer
1932281565OtherMINPI

Other names 1

  • R3 Station Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070201000042 MI Part B Supplier - Clinic/Group Practice 8022082635 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Rapids, MI

National Provider Directory

National Provider Directory

Locations

1152 Burton St SE
Grand Rapids, MI 49507
Phone (616) 475-7830

1152 Burton St SE
#R3
Grand Rapids, MI 49507
Phone (616) 475-7830

660 Burton St SE
Grand Rapids, MI 49507
Phone (616) 475-7830

Practitioners & affiliated clinicians

Practitioners 2

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1437226545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073359",
            "telephone_number": "616-475-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073359",
            "telephone_number": "616-475-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION RESTORATION RELAZATION STATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "616-475-7830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSOTR"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932281565",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R3 Station",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "R3 Station",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.