Active NPI
Med Rehab Services, Inc.
- Rehabilitation Clinic/Center
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toms Mathew, PT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30420 | Other | MI | BLUE CROSS/BLUE SHIELD |
Other names 1
- Epic Rehab Services, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Southfield, MI
- NPI 1033327507
-
- Physical Therapist
- Southfield, MI
- NPI 1740498187
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.