Well-Point Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

WELL-POINT REHAB LLC

Practice address

25321 5 Mile Rd
Ste 2
Redford, MI 48239-3700

Phone

(313) 387-4119

Fax

(313) 387-5148

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed S Khan

Title

President

Phone

(313) 387-5119

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1497001036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25321 5 MILE RD",
            "address_2": "STE 2",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393700",
            "telephone_number": "313-387-4119",
            "fax_number": "313-387-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25321 5 MILE RD",
            "address_2": "STE 2",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393700",
            "telephone_number": "313-387-4119",
            "fax_number": "313-387-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL-POINT REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-387-5119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Redford, MI
• Providers in Redford, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.