Active NPI
Mascot Medical Consultants PLLC
- Physical Medicine & Rehabilitation Physician
- Troy, MI
National Provider Identifier
1730325549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- MASCOT MEDICAL CONSULTANTS PLLC
- Practice address
- 1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545 - Phone
- (248) 649-2323
- Fax
- (248) 649-5998
- NPI assigned
- Dec 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lester Joseph Mascot, MD
- Title
- President
- Phone
- (313) 534-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545
Mailing address
1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545
Phone (248) 649-2323
Other names 1
- Dynamic Rehabilitation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238544000000",
"number": "1730325549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 W BIG BEAVER RD",
"address_2": "SUITE 150",
"city": "TROY",
"state": "MI",
"postal_code": "480843545",
"telephone_number": "248-649-2323",
"fax_number": "248-649-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W BIG BEAVER RD",
"address_2": "SUITE 150",
"city": "TROY",
"state": "MI",
"postal_code": "480843545",
"telephone_number": "248-649-2323",
"fax_number": "248-649-5998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASCOT MEDICAL CONSULTANTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-29",
"last_updated": "2009-04-01",
"status": "A",
"authorized_official_last_name": "MASCOT",
"authorized_official_first_name": "LESTER",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-534-0300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dynamic Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.