Bruce C Diven, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012324 Issued in MI

Practice address

2861 West Rd.
Trenton, MI 48183-2400

Phone

(734) 675-2262

Fax

(734) 675-3430

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab Connection Inc

  dba Healthcore Physical Therapy

  • Physical Therapist
  • Riverview, MI
  • NPI 1659446359
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679657829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 COLE RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624111",
            "telephone_number": "734-241-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 WEST RD.",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832400",
            "telephone_number": "734-675-2262",
            "fax_number": "734-675-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVEN",
        "first_name": "BRUCE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002789",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Detloff, M.ED, BCBA
• Detroit Vamc
• Robert H Dickason, DO
• Petar Dimovich, R.PH.
• Anja Dinion, HSA, MAIR
• Richard M Dmitruchina, R.PH.
• Eneida Doko
• Teigan Donovan
• Krystle Marie Dorobek, CRNA
• Doula Support 360 LLC

• Physical Therapist in Trenton, MI
• Providers in Trenton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.