Organization Active NPI

Pace Rehab Inc

  • Physical Therapy Clinic/Center
  • Canton, MI
National Provider Identifier
1699008813
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501007279 Issued in MI
Legal business name
PACE REHAB INC
Practice address
46576 Inverness Rd
Canton, MI 48188-3050
Phone
(734) 444-5453
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Khadim Hussain, PT
Title
Owner
Phone
(734) 444-5453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501007279 MI Primary

Addresses

Primary practice location

46576 Inverness Rd
Canton, MI 48188-3050

Mailing address

46576 Inverness Rd
Canton, MI 48188-3050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1699008813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46576 INVERNESS RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46576 INVERNESS RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883050",
            "telephone_number": "734-444-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "KHADIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-444-5453",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501007279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.