Active NPI
Standard Rehabilitation Group Inc
- Physical Therapist
- Detroit, MI
National Provider Identifier
1679657142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005574
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Detroit, MI
- NPI 1578734273
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.