Advanced Neuro Rehab Services

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

HP050806-4301050806 Issued in MI

Legal business name

ADVANCED NEURO REHAB SERVICES

Practice address

26635 Woodward Avenue
Suite 101
Huntington Woods, MI 48070

Phone

(248) 548-6400

Fax

(248) 548-8885

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Johnson

Title

Office Manager

Phone

(248) 548-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tessy C Jenkins, M.D.

  • Neurology Physician
  • Southfield, MI
  • NPI 1548269897
  NPD (past)
• Haranath Policherla, M.D.

  • Neurology Physician
  • Huntington Woods, MI
  • NPI 1669493912
  NPD (past)
• Vaqar Siddiqui, MD

  • Neurology Physician
  • Eastpointe, MI
  • NPI 1285609008
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1710023916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26635 WOODWARD AVENUE",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701372",
            "telephone_number": "248-548-6400",
            "fax_number": "248-548-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26635 WOODWARD AVENUE",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "48070",
            "telephone_number": "248-548-6400",
            "fax_number": "248-548-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEURO REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-548-6400"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "HP050806-4301050806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4377860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Zeevi DDS Ms PLC
• Ability Home Care Services Inc.
• Katie Adolph-Blake
• Advanced Neuro Rehab Services Inc.
• Advanced Periodontics Implantology
• Advanced Wellness Connection of Mi LLC
• Aeroflow Inc
• Aimee B. Chisik DDS, P.C.

• Neurology Physical Therapist in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Neurology Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.