Med Rehab Servi Es Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

MED REHAB SERVI ES INC

Practice address

37463 Schoolcraft Rd
Livonia, MI 48150-1007

Phone

(734) 432-1700

Fax

(734) 266-7100

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tom Mathew, PT

Title

President

Phone

(734) 432-1700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Epic Rehab,Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 236788

Legal name

MED REHAB SERVICES

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jun 4, 2001

Last certification

Aug 29, 2022

Ownership / control type

Proprietary

Facility address

37463 Schoolcraft Road
Livonia, MI 48150

Other NPIs on the same Medicare enrollment 1

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

• Med Rehab Services, Inc.

  • Rehabilitation Clinic/Center
  • Livonia, MI
  • NPI 1578667754

  O20050518001066

  Same enrollment

Practitioners 1

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

• Nancy K Mathew, RPT

  • Physical Therapist
  • Southfield, MI
  • NPI 1740498187
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1487763280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37463 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501007",
            "telephone_number": "734-432-1700",
            "fax_number": "734-266-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37463 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501007",
            "telephone_number": "734-432-1700",
            "fax_number": "734-266-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED REHAB SERVI ES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-432-1700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30420",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30083",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Rehab,Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Adrian McQueen, LMT
• Jacqueline McQueen, RPH
• Christopher McWatters
• Christopher Meador
• Ban Mechael, MD
• Med Rehab Services, Inc.
• Christine Jean Medaugh, MD
• Medcart LTC Inc
• Medcart Specialty Care LLC
• Medcore Home Medical Equipment LLC

• Rehabilitation Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.