Active NPI
Wellness Fitness Rehab Inc
- Physical Therapist
- Taylor, MI
National Provider Identifier
1851636088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015979
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.