NPIMap

Organization Active NPI

Paramount Rehabilitation Services, PC

  • Physical Therapist
  • Standish, MI
National Provider Identifier
1447553243
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005570 Issued in MI
Legal business name
PARAMOUNT REHABILITATION SERVICES, PC
Practice address
4489 M 61 Ste 6
Standish, MI 48658-9104
Phone
(989) 718-3171
Fax
(989) 718-3172
NPI assigned
Dec 16, 2010
Organization subpart
Yes
Parent organization
PARAMOUNT REHABILITATION SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Mr. Manjusha Malewar, RPTNPI 1487036133
Title
Administrator
Phone
(989) 891-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501005570 MI Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501006073 MI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501013753 MI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1022345 MI
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 1051100450 MI
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 5201007687 MI
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 01092746 MI

Addresses

Primary practice location

4489 M 61 Ste 6
Standish, MI 48658-9104

Mailing address

4489 M 61 Ste 6
Standish, MI 48658-9272
Phone (989) 718-3171

Other identifiers 4

IdentifierTypeStateIssuer
0987906OtherMIHEALTH PLUS
30738OtherMIBLUE CARE NETWORK
30738OtherMIBLUE CROSS BLUE SHIELD OF MICHIGAN
404679870MedicaidMI

Other names 1

  • Paramount Rehabilitation Services, PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Server Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090924000280 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5799831244 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saginaw, MI; Bay City, MI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Paramount Rehabilitation Services PC

Locations

4489 M 61
Ste 6
Standish, MI 48658
Phone (989) 718-3171

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1447553243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4489 M 61 STE 6",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589272",
            "telephone_number": "989-718-3171",
            "fax_number": "989-718-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 M 61 STE 6",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589104",
            "telephone_number": "989-718-3171",
            "fax_number": "989-718-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT REHABILITATION SERVICES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARAMOUNT REHABILITATION SERVICES",
        "enumeration_date": "2010-12-16",
        "last_updated": "2022-06-13",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "MALEWAR",
        "authorized_official_first_name": "MANJUSHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-891-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005570",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006073",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013753",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "1022345",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "1051100450",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201007687",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01092746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0987906",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "30738",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
            "identifier": "30738",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404679870",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Server",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4489 M 61 Ste 6",
            "city": "Standish",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486589104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Paramount Rehabilitation Services, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Standish, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.