Superior Physical Therapy and Rehabilitation LLC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

SUPERIOR PHYSICAL THERAPY AND REHABILITATION LLC

Practice address

27789 Mound Rd Ste 100
Warren, MI 48092-2697

Phone

(309) 569-1395

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Sam Hakki, MD

Title

Chairman

Phone

(727) 422-4680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1477196301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483110880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27789 MOUND RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922697",
            "telephone_number": "309-569-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PHYSICAL THERAPY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "HAKKI",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "727-422-4680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Hospital Unit in Warren, MI
• Providers in Warren, MI by specialty
• Rehabilitation Hospital Unit in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.