Active NPI
Rehab Physicians of Metro Detroit
- Physical Medicine & Rehabilitation Physician
- Southfield, MI
National Provider Identifier
1508244567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- REHAB PHYSICIANS OF METRO DETROIT
- Practice address
- 22972 Lahser Rd
Southfield, MI 48033-4408 - Phone
- (313) 618-0226
- Fax
- (248) 809-6566
- NPI assigned
- May 11, 2015
- 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
- Miss Jacqueline Gabbana-Jan
- Title
- Owner
- Phone
- (313) 618-0226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
22972 Lahser Rd
Southfield, MI 48033-4408
Mailing address
22972 Lahser Rd
Southfield, MI 48033-4408
Phone (313) 618-0226
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431302400000",
"number": "1508244567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22972 LAHSER RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480334408",
"telephone_number": "313-618-0226",
"fax_number": "248-809-6566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22972 LAHSER RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480334408",
"telephone_number": "313-618-0226",
"fax_number": "248-809-6566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REHAB PHYSICIANS OF METRO DETROIT",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A",
"authorized_official_last_name": "GABBANA-JAN",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-618-0226",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.