Active NPI
Pain and Injury Rehabilitation Clinic
- Chiropractor
- Southfield, MI
National Provider Identifier
1669663928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301009001
- Legal business name
- PAIN AND INJURY REHABILITATION CLINIC
- Doing business as
- Pain and Injury Rehabilitation Clinic
- Practice address
- 28300 Franklin Rd Ste a
Southfield, MI 48034-1657 - Phone
- (248) 354-8180
- Fax
- (248) 354-8199
- NPI assigned
- Aug 1, 2007
- Last updated
- Aug 1, 2007
- 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
- Dr. Rachel Anne Stadick, DC CMT
- Title
- Doctor
- Phone
- (248) 354-8180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009001 | MI | Primary |
Addresses
Primary practice location
28300 Franklin Rd Ste a
Southfield, MI 48034-1657
Mailing address
29193 Northwestern Hwy # 521
Southfield, MI 48034-1011
Phone (248) 354-8180
Other names 1
- Pain and Injury Rehabilitation Clinic
National Provider Directory
National Provider DirectoryLocations
29193 Northwestern Hwy
#521
Southfield, MI 48034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1669663928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29193 NORTHWESTERN HWY # 521",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341011",
"telephone_number": "248-354-8180",
"fax_number": "248-354-8199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28300 FRANKLIN RD STE A",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341657",
"telephone_number": "248-354-8180",
"fax_number": "248-354-8199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND INJURY REHABILITATION CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "STADICK",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "248-354-8180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC CMT"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301009001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pain and Injury Rehabilitation Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.