Active NPI
Rehabilitation Restoration Relazation Station Inc.
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Grand Rapids, MI
National Provider Identifier
1437226545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932281565 | Other | MI | NPI |
Other names 1
- R3 Station
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Occupational Therapist
- Grand Rapids, MI
- NPI 1932281565
-
- Independent Medical Examiner Chiropractor
- Grand Rapids, MI
- NPI 1023234754
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.