Standish Rehabilitation Center Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H Issued in MI

Legal business name

STANDISH REHABILITATION CENTER INC

Practice address

529 S Main St
Suite G
Standish, MI 48658

Phone

(989) 846-0937

Fax

(989) 846-0936

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Krishna Chalasani

Title

Alt Administrator

Phone

(989) 245-2024

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659480457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1158",
            "address_2": "529 S MAIN SUITE G",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "48658",
            "telephone_number": "989-846-0937",
            "fax_number": "989-846-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S MAIN ST",
            "address_2": "SUITE G",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "48658",
            "telephone_number": "989-846-0937",
            "fax_number": "989-846-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDISH REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "989-245-2024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "0980976",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLARENHP",
            "identifier": "1016991",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30690",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3428910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Valerie Ann Tinnin

• Physical Medicine & Rehabilitation Physician in Standish, MI
• Providers in Standish, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.