Organization Active NPI

Michigan Rehabilitation Center LLC

  • Physical Therapist
  • Dearborn Heights, MI
National Provider Identifier
1699068510
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011866 Issued in MI
Legal business name
MICHIGAN REHABILITATION CENTER LLC
Practice address
22146 Ford Rd
Ste 4
Dearborn Heights, MI 48127-2419
Phone
(248) 790-5002
NPI assigned
May 25, 2011
Last updated
May 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2011

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

Authorized official

Name
Joseph Labib, THERAPIST
Title
Therapist
Phone
(248) 790-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501011866 MI Primary

Addresses

Primary practice location

22146 Ford Rd
Ste 4
Dearborn Heights, MI 48127-2419

Mailing address

22146 Ford Rd
Ste 4
Dearborn Heights, MI 48127-2419
Phone (248) 790-5002

National Provider Directory

National Provider Directory

Locations

22146 Ford Rd
Ste 4
Dearborn Heights, MI 48127
Phone (248) 790-5002

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306713600000",
    "number": "1699068510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22146 FORD RD",
            "address_2": "STE 4",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272419",
            "telephone_number": "248-790-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22146 FORD RD",
            "address_2": "STE 4",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272419",
            "telephone_number": "248-790-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-30",
        "status": "A",
        "authorized_official_last_name": "LABIB",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-790-5004",
        "authorized_official_credential": "THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; 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.