Bone and Joint Rehabilitation Center, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BONE AND JOINT REHABILITATION CENTER, LLC

Practice address

33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258

Phone

(586) 416-9100

Fax

(586) 416-9103

NPI assigned

Oct 3, 2013

Organization subpart

Yes

Parent organization

BONE & JOINT INSTITUTE PCAs reported in NPPES

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

Authorized official

Name

David J Fausone Jr., DPT

Title

Clinic Director

Phone

(810) 987-9711

Specialties & licenses 1

Addresses

Part of

Bone Joint Rehabilitation Center

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bone & Joint Institute P C

  • Orthopaedic Surgery Physician
  • Port Huron, MI
  • NPI 1285817700

  Member Of

  NPD member

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1740617828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FORT ST",
            "address_2": "SUITE 100",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603941",
            "telephone_number": "810-987-9711",
            "fax_number": "810-987-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-416-9100",
            "fax_number": "586-416-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE AND JOINT REHABILITATION CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BONE & JOINT INSTITUTE PC",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "FAUSONE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "810-987-9711",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Robert Bolda
• Tanya Bolos
• Jayachandra Bommareddy
• Stephanie M Bommarito, SPEECH THERAPIST
• Shelley Galasso Bonanno, MA LLP
• Devone Booker
• Nicholas Boris
• Gabriella Born, DO
• Marina Boscaglia, BCBA
• Sabrina Bossio, PHARMD

• Physical Therapist in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.