Organization Active NPI

Novela Rehab Clinic P.C

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1750877981
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NOVELA REHAB CLINIC P.C
Practice address
28777 Northwestern Hwy Ste 201
Southfield, MI 48034-8302
Phone
(313) 231-6627
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Jameela Hepburn
Title
C.E.O
Phone
(313) 231-6627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X MI Primary

Addresses

Primary practice location

28777 Northwestern Hwy Ste 201
Southfield, MI 48034-8302

Mailing address

28777 Northwestern Hwy Ste 201
Southfield, MI 48034-8302
Phone (313) 231-6627

National Provider Directory

National Provider Directory

Locations

28777 Northwestern Hwy
Ste 201
Southfield, MI 48034
Phone (313) 231-6627

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1750877981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28777 NORTHWESTERN HWY STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348302",
            "telephone_number": "313-231-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28777 NORTHWESTERN HWY STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348302",
            "telephone_number": "313-231-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVELA REHAB CLINIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "HEPBURN",
        "authorized_official_first_name": "JAMEELA",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "313-231-6627"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.