Organization Active NPI

Physical Rehab Service LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Oak Park, MI
National Provider Identifier
1760351290
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PHYSICAL REHAB SERVICE LLC
Practice address
21700 Greenfield Rd Ste 213
Oak Park, MI 48237-2888
Phone
(248) 677-3261
NPI assigned
Nov 3, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Kaniya Foster
Title
Owner
Phone
(313) 613-7271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

21700 Greenfield Rd Ste 213
Oak Park, MI 48237-2888

Mailing address

21700 Greenfield Rd Ste 213
Oak Park, MI 48237-2888
Phone (248) 677-3261

National Provider Directory

National Provider Directory

Locations

21700 Greenfield Rd
Ste 213
Oak Park, MI 48237
Phone (248) 677-3261

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1760351290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD STE 213",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372888",
            "telephone_number": "248-677-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 GREENFIELD RD STE 213",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372888",
            "telephone_number": "248-677-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHAB SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "KANIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-613-7271"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.