Organization Active NPI

Med Rehab Services, Inc.

  • Rehabilitation Clinic/Center
  • Livonia, MI
National Provider Identifier
1578667754
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MED REHAB SERVICES, INC.
Practice address
32290 W 5 Mile Rd
Suite a
Livonia, MI 48154
Phone
(248) 203-6636
Fax
(248) 203-6634
NPI assigned
Sep 11, 2006
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
Toms Mathew, PTNPI 1033327507
Title
Owner
Phone
(248) 203-6636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

32290 W 5 Mile Rd
Suite a
Livonia, MI 48154

Mailing address

32290 W 5 Mile Rd
Suite a
Livonia, MI 48154
Phone (248) 203-6636

Other identifiers 1

IdentifierTypeStateIssuer
30420OtherMIBLUE CROSS/BLUE SHIELD

Other names 1

  • Epic Rehab Services, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050518001066 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 4981514882 1 other NPI on this enrollment
Practice locations: Livonia, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

32290 5 Mile Rd
Ste A
Livonia, MI 48154
Phone (248) 203-6636

32290 5 Mile Rd
#A
Livonia, MI 48154
Phone (248) 203-6636

37463 Schoolcraft Rd
Livonia, MI 48150
Phone (313) 312-5754

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578667754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32290 W 5 MILE RD",
            "address_2": "SUITE A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "248-203-6636",
            "fax_number": "248-203-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32290 W 5 MILE RD",
            "address_2": "SUITE A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "248-203-6636",
            "fax_number": "248-203-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "TOMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-203-6636",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "30420",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Rehab Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Livonia, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.