NPIMap

Organization Active NPI

Oakland Rehabilitation Associates PLLC

  • Physical Medicine & Rehabilitation Physician
  • West Bloomfield, MI
National Provider Identifier
1801164876
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101011994 Issued in MI
Legal business name
OAKLAND REHABILITATION ASSOCIATES PLLC
Practice address
2300 Haggerty Rd
Suite 2130
West Bloomfield, MI 48323-2184
Phone
(248) 669-2040
NPI assigned
Dec 6, 2011
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Dr. Shelley Ann Nepa, D.O.NPI 1578568895
Title
President
Phone
(248) 669-2040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101011994 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Suite 2130
West Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd
Suite 2130
West Bloomfield, MI 48323-2184
Phone (248) 669-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120801000688 MI Part B Supplier - Clinic/Group Practice 6406002708 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

28100 Grand River Ave
Ste 209
Farmington Hills, MI 48336
Phone (248) 474-5081

2300 Haggerty Rd
Ste 2130
West Bloomfield, MI 48323
Phone (248) 669-2040

Practitioners & affiliated clinicians

Practitioners 10

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": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1801164876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-669-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND REHABILITATION ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "NEPA",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-669-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101011994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.