Grosse Pointe Physiatry, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5101014996 Issued in MI

Legal business name

GROSSE POINTE PHYSIATRY, PLLC

Practice address

18530 Mack Ave
Suite 411
Grosse Pointe Farms, MI 48236-3254

Phone

(313) 655-4824

Fax

(313) 886-3910

NPI assigned

Sep 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Ruth Grabowski, D.O.

Title

Physician

Phone

(313) 655-4824

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1659566057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 MACK AVE",
            "address_2": "SUITE 411",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254",
            "telephone_number": "313-655-4824",
            "fax_number": "313-886-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18530 MACK AVE",
            "address_2": "SUITE 411",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254",
            "telephone_number": "313-655-4824",
            "fax_number": "313-886-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE POINTE PHYSIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "GRABOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-655-4824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101014996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "250H232040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Green Lake Medical Supply, Inc
• Peggy Ellen Greene
• Grosse Pointe Anesthesiologists, PC
• Grosse Pointe Comprehensive Care
• Grosse Pointe Family Dentistry
• Grosse Pointe Surgical & Medical Services PC
• Raul Jaime Guerrero, M.D.
• Cherell Hardon
• Culver J Harrison, LPC
• David Hartter, R.PH.

• Physical Medicine & Rehabilitation Physician in Grosse Pointe Farms, MI
• Providers in Grosse Pointe Farms, 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 Aug 23, 2010; 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.