Organization Active NPI

DBMJ Rehabilitation Services PLLC

  • Physical Medicine & Rehabilitation Physician
  • Traverse City, MI
National Provider Identifier
1841305513
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DBMJ REHABILITATION SERVICES PLLC
Doing business as
NEUROMUSCULAR AND REHABILITATION ASSOCIATES OF NORTHERN MICHIGAN
Physical Medicine Associates of Northern Michigan
Practice address
3988 W Royal Dr
Traverse City, MI 49684-9200
Phone
(231) 935-0860
Fax
(231) 935-0930
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Laura S Alexander
Title
Practice Manager
Phone
(231) 935-0860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

3988 W Royal Dr
Traverse City, MI 49684-9200

Mailing address

3988 W Royal Dr
Traverse City, MI 49684-9200
Phone (231) 935-0860

Other names 2

  • NEUROMUSCULAR AND REHABILITATION ASSOCIATES OF NORTHERN MICHIGAN Doing business as
  • Physical Medicine Associates of Northern Michigan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000624 MI Part B Supplier - Clinic/Group Practice 5799774022 Receives reassigned benefits from 5 practitioners
Practice locations: Gaylord, MI; Traverse City, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2114067DBMJ Rehabilitation Services PLLC3988 W Royal Drive, Traverse City, MI 49684Certificate of waiverJun 6, 2028

National Provider Directory

National Provider Directory

Locations

14714 LK SHR Dr
Charlevoix, MI 49720
Phone (231) 935-0860

829 N Center Ave
Ste 140
Gaylord, MI 49735
Phone (989) 731-7860

1525 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1112

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1841305513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3988 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849200",
            "telephone_number": "231-935-0860",
            "fax_number": "231-935-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496849200",
            "telephone_number": "231-935-0860",
            "fax_number": "231-935-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBMJ REHABILITATION SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "231-935-0860"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEUROMUSCULAR AND REHABILITATION ASSOCIATES OF NORTHERN MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physical Medicine Associates of Northern Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.