Organization Active NPI

Dynasty Rehabilitation Services PC

  • Physical Medicine & Rehabilitation Physician
  • Sterling Heights, MI
National Provider Identifier
1881969202
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DYNASTY REHABILITATION SERVICES PC
Practice address
38800 Van Dyke Ave
Sterling Heights, MI 48312-1151
Phone
(313) 662-4603
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Tariq Saddiqi, PT
Title
Owner
Phone
(313) 662-4603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

38800 Van Dyke Ave
Sterling Heights, MI 48312-1151

Mailing address

38800 Van Dyke Ave
Sterling Heights, MI 48312-1151

National Provider Directory

National Provider Directory

Locations

38800 Van Dyke Ave
Sterling Heights, MI 48312
Phone (313) 662-4603

38800 Van Dyke Ave
Ste 7
Sterling Heights, MI 48312
Phone (313) 662-4603

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": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1881969202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38800 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38800 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121151",
            "telephone_number": "313-662-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNASTY REHABILITATION SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "SADDIQI",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-662-4603",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.