Organization Active NPI

Michigan Rehabilitation Specialists of Webberville, Inc.

  • Physical Therapist
  • Webberville, MI
National Provider Identifier
1740336536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MICHIGAN REHABILITATION SPECIALISTS OF WEBBERVILLE, INC.
Practice address
309 E Grand River Rd
Webberville, MI 48892-8602
Phone
(517) 521-3524
NPI assigned
Jan 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rodney P. Goble, MPTNPI 1063405462
Title
Co-Owner
Phone
(810) 231-6904

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 Therapist 225100000X NU Primary

Addresses

Primary practice location

309 E Grand River Rd
Webberville, MI 48892-8602

Mailing address

PO Box 500
Webberville, MI 48892-0500
Phone (517) 521-3524

National Provider Directory

National Provider Directory

Locations

309 E Grand River Rd
Webberville, MI 48892
Phone (517) 521-3447

Practitioners & affiliated clinicians

Practitioners 3

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740336536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "WEBBERVILLE",
            "state": "MI",
            "postal_code": "488920500",
            "telephone_number": "517-521-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E GRAND RIVER RD",
            "city": "WEBBERVILLE",
            "state": "MI",
            "postal_code": "488928602",
            "telephone_number": "517-521-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION SPECIALISTS OF WEBBERVILLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOBLE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "810-231-6904",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webberville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.