NPIMap

Organization Active NPI

Axxess Rehab LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1659828333
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
F0213J Issued in MI
Legal business name
AXXESS REHAB LLC
Practice address
15700 Providence Dr Apt 400
Southfield, MI 48075-3127
Phone
(248) 733-5496
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Mr. Cinol John
Title
Manager
Phone
(248) 733-5496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X F0213J MI Primary

Addresses

Primary practice location

15700 Providence Dr Apt 400
Southfield, MI 48075-3127

Mailing address

15700 Providence Dr Apt 400
Southfield, MI 48075-3127
Phone (248) 733-5496

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1659828333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 PROVIDENCE DR APT 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753127",
            "telephone_number": "248-733-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 PROVIDENCE DR APT 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753127",
            "telephone_number": "248-733-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXXESS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "CINOL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-733-5496",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "F0213J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.