NPIMap

Organization Active NPI

Community Therapeutic Rehab LLP

  • Preferred Provider Organization
  • Farmington Hills, MI
National Provider Identifier
1780015420
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2488099593 Issued in MI
Legal business name
COMMUNITY THERAPEUTIC REHAB LLP
Practice address
28200 Orchard Lake Rd
Suite 102
Farmington Hills, MI 48334-3761
Phone
(248) 809-9583
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Richard Bryant
Title
Ceo
Phone
(248) 809-9583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2488099593 MI Primary

Addresses

Primary practice location

28200 Orchard Lake Rd
Suite 102
Farmington Hills, MI 48334-3761

Mailing address

28200 Orchard Lake Rd
Suite 102
Farmington Hills, MI 48334-3761
Phone (248) 809-9583

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1780015420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28200 ORCHARD LAKE RD",
            "address_2": "SUITE 102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343761",
            "telephone_number": "248-809-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28200 ORCHARD LAKE RD",
            "address_2": "SUITE 102",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343761",
            "telephone_number": "248-809-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY THERAPEUTIC REHAB LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-809-9583"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "2488099593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.