Medical Rehabilitation Physicians PLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MB064477 Issued in MI

Legal business name

MEDICAL REHABILITATION PHYSICIANS PLC

Practice address

6079 W. Maple Rd.
Ste. 100B
West Bloomfield, MI 48322

Phone

(989) 772-1609

Fax

(989) 773-6279

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marvin N. Bleiberg, MD

Title

President/Owner

Phone

(989) 772-1609

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Michigan Spine and Pain Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 2

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

• Medical Rehabilitation Physicians PLC

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1174698336

  O20040817000659

  Same enrollment
• Medical Rehabilitation Physicians PLC

  • Durable Medical Equipment & Medical Supplies
  • Mount Pleasant, MI
  • NPI 1366754459

  O20100930007622

  Same enrollment

Practitioners 2

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

• Stuart Alan Firsten, D.C.

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1306960828
  NPD
• Adam Richard Wilson, PA-C

  • Physician Assistant
  • Mt Pleasant, MI
  • NPI 1518114800
  NPD

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1487796504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 HEALTH PARKWAY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "48858",
            "telephone_number": "989-772-1609",
            "fax_number": "989-773-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6079 W. MAPLE RD.",
            "address_2": "STE. 100B",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "989-772-1609",
            "fax_number": "989-773-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL REHABILITATION PHYSICIANS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BLEIBERG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "989-772-1609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "CC087757",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "MB009073",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "MB064477",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "MB064477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487796504",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Spine and Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shavaughn Meaux, BCBA, LBA
• Adela Medic
• Medical Doctors of Michigan, PLLC
• Medical Drivers LLC
• Medical Rehabilitation Physicians
• Medical Rehabilitation Physicians PLC
• Megan E Stowers DDS Ms PLC
• Andrea Meinert, PT, DPT
• Laura Mejeur
• Gerald Anthony Melchiode, M.D.

• Specialist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.