Pro Active Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRO ACTIVE REHAB, LLC

Practice address

24384 Elmhurst Ave
Farmington Hills, MI 48336-1931

Phone

(734) 709-5361

NPI assigned

Jan 31, 2015

Organization subpart

No

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

Authorized official

Name

Ankur Patel

Title

Board Member

Phone

(734) 709-5361

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1679963474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 FORD RD",
            "address_2": "STE 1",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24384 ELMHURST AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361931",
            "telephone_number": "734-709-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO ACTIVE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "734-709-5361"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanita Pritchett, LMSW, MSW
• Ava Pritz
• Cheri Privette
• Samantha Privott
• Pro Active Physical Therapy Inc.
• Proactive Wellness Center LLC
• Laura Probst
• Amelia Prochaska
• Angie Prochnow-Nunez
• Ashley Proctor

• Physical Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.