Ferndale Rehabilitation Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FERNDALE REHABILITATION CENTER LLC

Practice address

22540 Woodward Ave
Ferndale, MI 48220-1841

Phone

(248) 399-9355

Fax

(248) 399-8644

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Yong Song, D.C

Title

Sole Member

Phone

(248) 709-2447

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1801288121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22540 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201841",
            "telephone_number": "248-399-9355",
            "fax_number": "248-399-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 WOODWARD AVE",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201841",
            "telephone_number": "248-399-9355",
            "fax_number": "248-399-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNDALE REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YONG",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "248-709-2447",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101020062",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferndale Dental
• Ferndale Family Pharmacy Inc
• Ferndale Pain Solutions PLLC
• Ferndale Pharmacy
• Ferndale Rehab Physical and Occupation Therapy
• Ferndale Urgent Care
• Abigail Ferris, PA-C
• Caitlin Anne Fey, LPC
• Shayma W Fidama
• Ashleigh Alexandria Finazzo, PA

• Chiropractor in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.