Michigan Rehabilitation Specialists of Fowlerville, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE, LLC

Doing business as

ATI Physical Therapy

Practice address

1949 W Maple Rd
Troy, MI 48084-7109

Phone

(248) 268-5497

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Lynn McGivern, CCO

Title

Chief Compliance Officer

Phone

(630) 296-2222

Specialties & licenses 3

Addresses

Other names 1

• ATI Physical Therapy Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Athletic and Therapeutic Institute of Naperville, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Chicago, IL
  • NPI 1871825455

  Member Of

  NPD member
• Ati Holdings, LLC

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1609015700

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1619392354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 W MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480847109",
            "telephone_number": "248-268-5497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Kirts Blvd",
            "address_2": "Ste 120",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844851",
            "country_code": "US",
            "telephone_number": "248-519-4900",
            "fax_number": "248-269-0385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION SPECIALISTS OF FOWLERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "MCGIVERN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "630-296-2222",
        "authorized_official_credential": "CCO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATI Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michigan Orthopaedic Surgeons PLLC
• Michigan Physical Therapy Specialists,PC
• Michigan Physicians Group, PC
• Michigan Spine Institute, PC
• Michigan Telemed PLLC
• Ira Mickelson, MD
• Midwest Community Care Services LLC
• Midwest Community Home Healthcare Services LLC

• Durable Medical Equipment & Medical Supplies in Troy, MI
• Providers in Troy, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.