NPIMap

Organization Active NPI

Magnum Rehabilitation Services, LLC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1780850529
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063440 Issued in MI
Legal business name
MAGNUM REHABILITATION SERVICES, LLC
Practice address
20526 Plymouth Rd Ste B
Detroit, MI 48228-1273
Phone
(734) 730-7579
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Norma Jean Barrett
Title
Manager
Phone
(734) 730-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301063440 MI Primary

Addresses

Primary practice location

20526 Plymouth Rd Ste B
Detroit, MI 48228-1273

Mailing address

20526 Plymouth Rd Ste B
Detroit, MI 48228-1273
Phone (734) 730-7579

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1780850529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20526 PLYMOUTH RD STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281273",
            "telephone_number": "734-730-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20526 PLYMOUTH RD STE B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482281273",
            "telephone_number": "734-730-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNUM REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-730-7579"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.