Medcity Rehabilitation Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MEDCITY REHABILITATION SERVICES, LLC

Practice address

12370 Woodward Ave
Highland Park, MI 48203-3322

Phone

(313) 252-4000

Fax

(313) 252-4015

NPI assigned

Feb 17, 2010

Last updated

Jul 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Carl Collins

Title

Member

Phone

(313) 252-4000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sidharth Anneboina, PT

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1659683407

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1740502772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033322",
            "telephone_number": "313-252-4000",
            "fax_number": "313-252-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033322",
            "telephone_number": "313-252-4000",
            "fax_number": "313-252-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCITY REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-252-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana McCarroll
• Barbara Denise McCowin-West
• Anthony McDuffie, M.A.
• Ashley McKenzie
• Kyle McKenzie, BA
• Aruna A Mehendale, M.D.
• Olivia Mensah
• Angelica Mickens
• Trelle Miller-Freeny, LLMSW
• Curtis Lee Miller III

• Physical Therapy Clinic/Center in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.