Active NPI
Standish Rehabilitation Center Inc
- Physical Therapist
- Standish, MI
National Provider Identifier
1528247921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- STANDISH REHABILITATION CENTER INC
- Practice address
- 529 S Main St
Suite G
Standish, MI 48658-9539 - Phone
- (989) 846-0937
- NPI assigned
- Nov 1, 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
- Jillian Christian
- Title
- Office MGR
- Phone
- (989) 846-0937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
529 S Main St
Suite G
Standish, MI 48658-9539
Mailing address
PO Box 1158
Standish, MI 48658-1158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4999899 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Outpatient physical therapy / speech pathology certification: CCN 236727
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- STANDISH REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Nov 24, 1997
- Last certification
- Apr 15, 2021
- Ownership / control type
- Proprietary
- Facility address
- 529 South Main Street, Suite G
Standish, MI 48658
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193875200000",
"number": "1528247921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1158",
"city": "STANDISH",
"state": "MI",
"postal_code": "486581158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 S MAIN ST",
"address_2": "SUITE G",
"city": "STANDISH",
"state": "MI",
"postal_code": "486589539",
"telephone_number": "989-846-0937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANDISH REHABILITATION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A",
"authorized_official_last_name": "CHRISTIAN",
"authorized_official_first_name": "JILLIAN",
"authorized_official_title_or_position": "OFFICE MGR",
"authorized_official_telephone_number": "989-846-0937"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4999899",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Standish, MI
- Andrew Allan Slocum, MSN, FNP-BC
- James Spegel
- St. Mary's of Michigan
- Standish Dental (Lake Huron Dental)
- Standish Family Dental Center PLLC
- Standish Rehabilitation Center Inc
- Sterling Area Health Center (Sterling Area Health Center Standish- Sterling Community School SBSS)
- Sterling Area Health Center
- Annie Dolores Stewart
- Ten 16 Recovery Network
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.