Organization Active NPI

Mercy Physical Therapy and Rehabilitation

  • Rehabilitation Practitioner
  • Warren, MI
National Provider Identifier
1508914797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.