Organization Active NPI

Standard Rehabilitation Group Inc

  • Physical Therapist
  • Detroit, MI
National Provider Identifier
1679657142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005574 Issued in MI
Legal business name
STANDARD REHABILITATION GROUP INC
Practice address
15785 Livernois Ave
Detroit, MI 48238-1367
Phone
(313) 934-2623
Fax
(313) 934-2656
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Monsuru Bello, RPT
Title
President
Phone
(313) 934-2623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501005574 MI Primary

Addresses

Primary practice location

15785 Livernois Ave
Detroit, MI 48238-1367

Mailing address

25368 Carollton Dr
Farmington Hills, MI 48335-1309
Phone (248) 821-4951

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679657142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25368 CAROLLTON DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483351309",
            "telephone_number": "248-821-4951",
            "fax_number": "248-888-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LIVERNOIS AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482381367",
            "telephone_number": "313-934-2623",
            "fax_number": "313-934-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDARD REHABILITATION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "MONSURU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-934-2623",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.