Active NPI
Mercy Physical Therapy and Rehabilitation
- Rehabilitation Practitioner
- Warren, MI
National Provider Identifier
1508914797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- MERCY PHYSICAL THERAPY AND REHABILITATION
- Practice address
- 31690 Hoover Rd
Suite #101
Warren, MI 48093-7653 - Phone
- (586) 977-7833
- Fax
- (586) 977-7831
- NPI assigned
- Jan 6, 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
- Gaffar Khan
- Title
- Administrator
- Phone
- (586) 977-7833
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
31690 Hoover Rd
Suite #101
Warren, MI 48093-7653
Mailing address
31690 Hoover Rd
Suite #101
Warren, MI 48093-7653
Phone (586) 977-7833
National Provider Directory
National Provider DirectoryLocations
31690 Hoover Rd
Ste 101
Warren, MI 48093
Phone (586) 268-7922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508914797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31690 HOOVER RD",
"address_2": "SUITE #101",
"city": "WARREN",
"state": "MI",
"postal_code": "480937653",
"telephone_number": "586-977-7833",
"fax_number": "586-977-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31690 HOOVER RD",
"address_2": "SUITE #101",
"city": "WARREN",
"state": "MI",
"postal_code": "480937653",
"telephone_number": "586-977-7833",
"fax_number": "586-977-7831"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY PHYSICAL THERAPY AND REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "GAFFAR",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "586-977-7833"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.