Pelvic Abdominal Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PELVIC ABDOMINAL REHABILITATION LLC

Practice address

26657 Woodward Ave Ste 102
Huntington Woods, MI 48070-1300

Phone

(248) 878-5175

Fax

(248) 430-5583

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

Stacey Lash, P.T.NPI 1376069070

Title

Member/Co-Manager

Phone

(248) 878-5175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Stacey Lash, P.T.

  • Physical Therapist
  • Huntington Woods, MI
  • NPI 1376069070
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Therese Nimmoor, DPT

  • Physical Therapist
  • Royal Oak, MI
  • NPI 1073661112
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1851817555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE STE 102",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701300",
            "telephone_number": "248-878-5175",
            "fax_number": "248-430-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE STE 102",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701300",
            "telephone_number": "248-878-5175",
            "fax_number": "248-430-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC ABDOMINAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "LASH",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MEMBER/CO-MANAGER",
        "authorized_official_telephone_number": "248-878-5175",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Palm, D.D.S.
• Pamela Warner Marsh Psy D PLLC
• Pamela Warner Marsh, Psy.D., PLLC
• Harrison S C Parker, LLMSW
• Paul R. Lessem, MD, PC
• Perry Drug Stores Inc and Subsidiaries
• Alani Monee Peterson, MSW
• Elizabeth Carol Phipps, CMT
• Phyllis Aronson, P.C.
• Physician Care Services PLC

• Physical Therapist in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.