NPIMap

Organization Active NPI

Great Lakes Rehabilitation LLC

  • Occupational Therapist
  • Farmington Hills, MI
National Provider Identifier
1861686867
Registry record updated Sep 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201000642 Issued in MI
Legal business name
GREAT LAKES REHABILITATION LLC
Practice address
34914 Valley Forge Dr
Farmington Hills, MI 48331-4614
Phone
(248) 982-2320
NPI assigned
Sep 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2007

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

Authorized official

Name
Dimple Aggarwal, OTR,CLTNPI 1770675001
Title
President
Phone
(248) 982-2320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201000642 MI Primary

Addresses

Primary practice location

34914 Valley Forge Dr
Farmington Hills, MI 48331-4614

Mailing address

34914 Valley Forge Dr
Farmington Hills, MI 48331-4614
Phone (248) 982-2320

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1188604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188604800000",
    "number": "1861686867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34914 VALLEY FORGE DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314614",
            "telephone_number": "248-982-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34914 VALLEY FORGE DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314614",
            "telephone_number": "248-982-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-01",
        "last_updated": "2007-09-01",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "DIMPLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-982-2320",
        "authorized_official_credential": "OTR,CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201000642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; 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.