NPIMap

Organization Active NPI

Michigan Rehabilitation Specialists of Plymouth Inc

  • Physical Therapist
  • Plymouth, MI
National Provider Identifier
1831476357
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MICHIGAN REHABILITATION SPECIALISTS OF PLYMOUTH INC
Practice address
44191 Plymouth Oaks Blvd
Suite 600
Plymouth, MI 48170-6530
Phone
(734) 259-7102
Fax
(734) 259-7104
NPI assigned
Nov 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Matthew Lincoln Davis
Title
Cfo
Phone
(810) 231-6904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

44191 Plymouth Oaks Blvd
Suite 600
Plymouth, MI 48170-6530

Mailing address

PO Box 215
Hamburg, MI 48139-0215
Phone (810) 231-6904

Other names 1

  • Michigan Rehabilitation Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

44191 Plymouth Oaks Blvd
Ste 600
Plymouth, MI 48170
Phone (734) 259-7100

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1831476357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390215",
            "telephone_number": "810-231-6904",
            "fax_number": "810-360-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44191 PLYMOUTH OAKS BLVD",
            "address_2": "SUITE 600",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706530",
            "telephone_number": "734-259-7102",
            "fax_number": "734-259-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION SPECIALISTS OF PLYMOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "810-231-6904"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Rehabilitation Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.