Up Rehab Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

UP REHAB SERVICES LLC

Practice address

505 N Hooper St
Kingsford, MI 49802-5406

Phone

(906) 776-9003

Fax

(906) 776-9063

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Russell Todd Tripp

Title

Coo

Phone

(906) 225-5570

Specialties & licenses 5

Addresses

Other identifiers 4

Locations

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

• Hanna Anderson

  • Speech-Language Pathologist
  • Marquette, MI
  • NPI 1053153122
  NPD (past)
• Dawn Archambault-Lackey, PT

  • Physical Therapist
  • Marquette, MI
  • NPI 1063748523
  NPD (past)
• Megan Ann Ashby, P.T.

  • Physical Therapist
  • Marquette, MI
  • NPI 1932413721
  NPD (past)
• Brett Baird, PT

  • Physical Therapist
  • Kingsford, MI
  • NPI 1013790278
  NPD (past)
• Trista Barron

  • Occupational Therapist
  • Lanse, MI
  • NPI 1215491543
  NPD (past)
• Katelyn Butterfield

  • Occupational Therapist
  • Iron Mountain, MI
  • NPI 1679315618
  NPD (past)
• Rachael Daggett

  • Occupational Therapist
  • Marquette, MI
  • NPI 1467294405
  NPD (past)
• Krishna Dayalan

  • Speech-Language Pathologist
  • Hancock, MI
  • NPI 1124860176
  NPD (past)
• Janie Erkkila, MS. CF-SLP

  • Speech-Language Pathologist
  • Marquette, MI
  • NPI 1942920244
  NPD (past)
• Vivian A Graham, OTR

  • Occupational Therapist
  • Escanaba, MI
  • NPI 1922335157
  NPD (past)
• Renee Hahn

  • Speech-Language Pathologist
  • Lanse, MI
  • NPI 1558845685
  NPD (past)
• Kiplin Matthew Hartman Sr., DPT

  • Physical Therapist
  • Marquette, MI
  • NPI 1861699878
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1821148529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 COUNTY ROAD HQ",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558855",
            "telephone_number": "906-225-5570",
            "fax_number": "906-225-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N HOOPER ST",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498025406",
            "telephone_number": "906-776-9003",
            "fax_number": "906-776-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Roosevelt Rd Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Niagara",
            "state": "WI",
            "postal_code": "541511331",
            "country_code": "US",
            "telephone_number": "715-251-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UP REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "906-225-5570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CV0004527",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100075308",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR WC",
            "identifier": "614387700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0B20128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsy Rae Thom, SST,QMHP,QIDP
• Karen Lynn Thompson, LLMSW
• Trico Opportunities, Inc.
• Angela C Tripp, PTA
• Suzanne Tusa
• Curtis Vandusen
• Amy Venstra
• Jodi Wadge
• Kelsey Wagner, BT
• Debra Ann Wahoviak, LBSW

• All providers in Kingsford, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.