Organization Active NPI

Functional Rehab Services PC

  • Physical Disabilities Residential Treatment Facility
  • Saginaw, MI
National Provider Identifier
1699829119
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
02952C Issued in MI
Legal business name
FUNCTIONAL REHAB SERVICES PC
Practice address
2575 McLeod Dr N
Suite B
Saginaw, MI 48604-2857
Phone
(989) 921-1132
NPI assigned
Jan 22, 2007
Last updated
Oct 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Munifa MohibiNPI 1194063339
Title
Administrator PT
Phone
(989) 921-1132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X 02952C MI Primary

Addresses

Primary practice location

2575 McLeod Dr N
Suite B
Saginaw, MI 48604-2857

Mailing address

2575 McLeod Dr N
Suite B
Saginaw, MI 48604-2857

National Provider Directory

National Provider Directory

Locations

200 S Wenona St
Ste 270
Bay City, MI 48706
Phone (989) 894-4428

2575 McLeod Dr N
Ste B
Saginaw, MI 48604
Phone (989) 921-1132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1699829119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 MCLEOD DR N",
            "address_2": "SUITE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 MCLEOD DR N",
            "address_2": "SUITE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042857",
            "telephone_number": "989-921-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL REHAB SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "MOHIBI",
        "authorized_official_first_name": "MUNIFA",
        "authorized_official_title_or_position": "ADMINISTRATOR PT",
        "authorized_official_telephone_number": "989-921-1132"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "02952C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.