Organization Active NPI

Renewed Mobility Chiropractic, P.C.

  • Chiropractor
  • Plymouth, MI
National Provider Identifier
1902209042
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008169 Issued in MI
Legal business name
RENEWED MOBILITY CHIROPRACTIC, P.C.
Practice address
9329 N Haggerty Rd
Plymouth, MI 48170-4622
Phone
(734) 536-4680
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Authorized official

Name
Heidi Aprahamian, D.C.NPI 1558790196
Title
Owner
Phone
(734) 536-4680

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008169 MI Primary

Addresses

Primary practice location

9329 N Haggerty Rd
Plymouth, MI 48170-4622

Mailing address

40484 Coachwood Cir
Northville, MI 48168-3274
Phone (248) 924-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141230001521 MI Part B Supplier - Clinic/Group Practice 8123341054 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory

Locations

927 Wing St
Plymouth, MI 48170

9329 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 536-4680

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": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1902209042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40484 COACHWOOD CIR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481683274",
            "telephone_number": "248-924-2638",
            "fax_number": "248-924-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9329 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704622",
            "telephone_number": "734-536-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MOBILITY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "APRAHAMIAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-536-4680",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.