Organization Active NPI

Wellness Fitness Rehab Inc

  • Physical Therapist
  • Taylor, MI
National Provider Identifier
1851636088
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015979 Issued in MI
Legal business name
WELLNESS FITNESS REHAB INC
Practice address
15168 Troy St
Taylor, MI 48180-5139
Phone
(734) 637-7540
NPI assigned
Nov 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Bhupinder Nijjar Nijjar
Title
Director
Phone
(734) 637-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501015979 MI Primary

Addresses

Primary practice location

15168 Troy St
Taylor, MI 48180-5139

Mailing address

23611 Goddard Rd
Taylor, MI 48180-4046
Phone (734) 637-7540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1851636088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23611 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804046",
            "telephone_number": "734-637-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15168 TROY ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481805139",
            "telephone_number": "734-637-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FITNESS REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "NIJJAR",
        "authorized_official_first_name": "BHUPINDER",
        "authorized_official_middle_name": "NIJJAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-637-7540"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.