Rushton Recovery LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RUSHTON RECOVERY LLC

Practice address

9600 N Rushton Rd
South Lyon, MI 48178-8849

Phone

(734) 604-0411

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Brandee Wiseman

Title

Ceo

Phone

(734) 604-0411

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shylaja Gontina-Khatiwala, MD

  • Addiction Medicine (Family Medicine) Physician
  • South Lyon, MI
  • NPI 1205836137
  NPD (past)
• Nicholas Weiss, LMSW

  • Clinical Social Worker
  • Fenton, MI
  • NPI 1548514904
  NPD (past)

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1780452565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 WALNUT RIDGE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032189",
            "telephone_number": "734-604-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 N RUSHTON RD",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788849",
            "telephone_number": "734-604-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHTON RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-604-0411"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Root and Rise Pelvic Health Physical Therapy PLLC
• Christian William Roth, PT, CHT
• Mamatha Routhu
• Promita Roychoudhury, MD
• Martha Mary Rumschlag, MD
• Emily Santos
• Micah Scharer, DO
• Dylan Thomas Scheid
• Patricia Rose Scheuerman, DO.
• Alexandria Schiraldi, LLMSW

• Substance Abuse Rehabilitation Facility in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Substance Abuse Rehabilitation Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.