Rehab1St of Michigan LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REHAB1ST OF MICHIGAN LLC

Practice address

157 Baltimore St
Suite 201
Cumberland, MD 21502-2472

Phone

(301) 722-3215

Fax

(301) 722-1450

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Robert Boyle, MPT

Title

Managing Member

Phone

(301) 722-3680

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1851830475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR",
            "address_2": "SUITE 290",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-3215",
            "fax_number": "301-722-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB1ST OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "301-722-3680",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "00000001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Blake Reed
• Sheena Rae Reese
• Owen T Regan, MD
• Regional Eye Associates, Inc.
• Rehab1St Inc
• Anna Marie Reineke, NP
• Jose Manuel Reyes Zetina, LPN
• Francisco Reyes, M.D.
• Jeffery Kyle Rhodes, DDS
• Lisa Ann Rhodes, MPT

• Physical Therapist in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.