Organization Active NPI

Mike Renema P T PLLC

  • Physical Therapist
  • Grosse Pointe Woods, MI
National Provider Identifier
1861784142
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MIKE RENEMA P T PLLC
Practice address
1231 Hawthorne Rd
Grosse Pointe Woods, MI 48236-1471
Phone
(313) 492-6324
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Michael Renema
Title
Owner
Phone
(313) 492-6324

Specialties & licenses 1

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

Addresses

Primary practice location

1231 Hawthorne Rd
Grosse Pointe Woods, MI 48236-1471

Mailing address

1231 Hawthorne Rd
Grosse Pointe Woods, MI 48236-1471
Phone (313) 492-6324

Other names 1

  • IN HOME REHAB - ADRIAN Doing business as

National Provider Directory

National Provider Directory

Locations

1277 E Siena Heights Dr
Ste 366
Adrian, MI 49221
Phone (517) 266-3641

Practitioners & affiliated clinicians

Practitioners 3

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": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1861784142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 HAWTHORNE RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361471",
            "telephone_number": "313-492-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 HAWTHORNE RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361471",
            "telephone_number": "313-492-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE RENEMA P T PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "RENEMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-492-6324"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IN HOME REHAB - ADRIAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.