Organization Active NPI

Pain and Injury Rehabilitation Clinic

  • Chiropractor
  • Southfield, MI
National Provider Identifier
1669663928
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009001 Issued in MI
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.