Red Phoenix Stroke & Rehabilitation Inc.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

RED PHOENIX STROKE & REHABILITATION INC.

Practice address

481 Village Oaks CT
Ann Arbor, MI 48103-6129

Phone

(734) 730-2486

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Darryl Seldon, CCC-SLP

Title

Speech Language Pathologist

Phone

(734) 730-2486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1538544911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 VILLAGE OAKS CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036129",
            "telephone_number": "734-730-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 VILLAGE OAKS CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036129",
            "telephone_number": "734-730-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED PHOENIX STROKE & REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "SELDON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "734-730-2486",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.