Active NPI
Supra Therapists Inc Dba Med Tech Occup
- Rehabilitation Clinic/Center
- Flint, MI
National Provider Identifier
1629017488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- SUPRA THERAPISTS INC DBA MED TECH OCCUP
- Practice address
- G3259 Beecher Rd
Flint, MI 48532-3615 - Phone
- (810) 733-3163
- NPI assigned
- Jun 6, 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
- Prakash Gandhi
- Title
- President
- Phone
- (248) 827-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
G3259 Beecher Rd
Flint, MI 48532-3615
Mailing address
26222 Telegraph Rd
Suite 100
Southfield, MI 48033-5318
Phone (248) 827-7200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1629017488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26222 TELEGRAPH RD",
"address_2": "SUITE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480335318",
"telephone_number": "248-827-7200",
"fax_number": "248-827-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3259 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323615",
"telephone_number": "810-733-3163"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPRA THERAPISTS INC DBA MED TECH OCCUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "GANDHI",
"authorized_official_first_name": "PRAKASH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-827-7200"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.