Active Rehab Group LLC
Organization Active NPI Rehabilitation Hospital Unit · Bad Axe, MI
NPI 1669615993 · NPPES record last updated Apr 16, 2009
Key facts
- NPI
- 1669615993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital Unit 273Y00000X
- License
- D27150 (MI)
- Legal business name
- ACTIVE REHAB GROUP LLC
- Practice address
- 110 E Huron Ave
Suite B
Bad Axe, MI 48413-1313 - Phone
- (989) 550-4035
- NPI assigned
- Apr 16, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Eli Kabban
- Title
- Administrator
- Phone
- (989) 269-2700
Practitioners 9
-
Stephen Francis Padden, P.T.
-
Alexis Marie Waun, OTRL
-
Elias Kabban, ATHLETIC TRAINER
-
Joel Kangas, DPT
-
Kayla Ann Maurer, P.T.A
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090512000467 | MI | Part B Supplier - Clinic/Group Practice | 2163571670 |
Receives reassigned benefits from 4 practitioners Practice locations: Bad Axe, MI |
National Provider Directory
Locations
128 W Huron Ave
Ste A
Bad Axe, MI 48413
Phone (989) 269-5400
110 E Huron Ave
Ste B
Bad Axe, MI 48413
Phone (989) 269-2700
128 W Huron Ave
Bad Axe, MI 48413
Phone (989) 269-2700
267 E Sanilac Rd
Sandusky, MI 48471
Phone (810) 648-6300
119 S Elk St
Sandusky, MI 48471
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | D27150 | MI | Yes |
Addresses
Primary practice location
110 E Huron Ave
Suite B
Bad Axe, MI 48413-1313
Mailing address
110 E Huron Ave
Suite B
Bad Axe, MI 48413-1313
Phone (989) 550-4035
Other providers in Bad Axe, MI
- Accuquest Hearing Center, LLC
- Active Health Care Supplies, Inc
- Active Healthcare Supplies, Inc
- Active Rehab of Michigan
- Acton Dialysis LLC
- Advanced Center Therapy LLC
- Rajalakshmi A Agrawal
- Brianah Alexander
All providers in Bad Axe, MI · Rehabilitation Hospital Unit in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.