NPIMap

Organization Active NPI

Marina Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Rochester, MI
National Provider Identifier
1902875941
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005736 Issued in MI
Legal business name
MARINA REHABILITATION AND HEALTH SERVICES, INC.
Practice address
1050 W University Dr
Suite 3
Rochester, MI 48307-1877
Phone
(248) 650-1984
Fax
(248) 650-1994
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Samir W HannaNPI 1750575486
Title
PH.D P.T.
Phone
(248) 650-1984

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501005736 MI Primary

Addresses

Primary practice location

1050 W University Dr
Suite 3
Rochester, MI 48307-1877

Mailing address

962 Dowling Rd
Bloomfield Hills, MI 48304-2523
Phone (248) 650-1984

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050706000207 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618913237 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester, MI
O20100930087791 MI DME Supplier - Physician - Physical and Rehabilitation 7618913237 Practice locations: Rochester, MI

National Provider Directory

National Provider Directory
Tax ID family
Marina Rehabilitation and Health Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1902875941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 DOWLING RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042523",
            "telephone_number": "248-650-1984",
            "fax_number": "248-650-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W UNIVERSITY DR",
            "address_2": "SUITE 3",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071877",
            "telephone_number": "248-650-1984",
            "fax_number": "248-650-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA REHABILITATION AND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PH.D  P.T.",
        "authorized_official_telephone_number": "248-650-1984"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.