NPIMap

Organization Active NPI

Cornerstone Rehab, PLLC

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1528359049
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006445 Issued in MI
Legal business name
CORNERSTONE REHAB, PLLC
Practice address
17330 Northland Park CT
Suite 205
Southfield, MI 48075-4318
Phone
(248) 809-2853
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taiwo Oluwabunmi Ogunleye, DPT
Title
Director
Phone
(248) 809-2853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501006445 MI Primary

Addresses

Primary practice location

17330 Northland Park CT
Suite 205
Southfield, MI 48075-4318

Mailing address

17330 Northland Park CT
Suite 205
Southfield, MI 48075-4318
Phone (248) 809-2853

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1528359049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT",
            "address_2": "SUITE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754318",
            "telephone_number": "248-809-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT",
            "address_2": "SUITE 205",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754318",
            "telephone_number": "248-809-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "OGUNLEYE",
        "authorized_official_first_name": "TAIWO",
        "authorized_official_middle_name": "OLUWABUNMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-809-2853",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006445",
            "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 2, 2011; 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.