Active NPI
Neurolab
- Physical Medicine & Rehabilitation Physician
- Novi, MI
National Provider Identifier
1508086471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- NEUROLAB
- Practice address
- 47601 Grand River Ave
Suite a 222
Novi, MI 48374-1233 - Phone
- (248) 342-9907
- Fax
- (248) 681-8077
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Palazzo, DSC, PT, ECS
- Title
- Director
- Phone
- (248) 342-9907
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | MI | Primary | |
| Clinical Electrophysiology Physical Therapist | 2251E1300X | 1276 MI | MI |
Addresses
Primary practice location
47601 Grand River Ave
Suite a 222
Novi, MI 48374-1233
Mailing address
4385 Motorway Dr
Waterford, MI 48328-3451
Phone (249) 342-9907
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Electrophysiology Physical Therapist
- Novi, MI
- NPI 1295877603
Electrophysiology, Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508086471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4385 MOTORWAY DR",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283451",
"telephone_number": "249-342-9907",
"fax_number": "248-681-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER AVE",
"address_2": "SUITE A 222",
"city": "NOVI",
"state": "MI",
"postal_code": "483741233",
"telephone_number": "248-342-9907",
"fax_number": "248-681-8077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLAB",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PALAZZO",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "248-342-9907",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DSC, PT, ECS"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "2251E1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": "MI",
"license": "1276 MI",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.