Michigan Rehabilitation Specialists South Lyon, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MICHIGAN REHABILITATION SPECIALISTS SOUTH LYON, INC.

Doing business as

Michigan Rehabilitation Specialists

Practice address

25700 Pontiac TRL
South Lyon, MI 48178-8047

Phone

(248) 446-2801

Fax

(248) 446-2802

NPI assigned

Jul 21, 2011

Last updated

Jul 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Lincoln Davis

Title

Cfo

Phone

(810) 231-6904

Specialties & licenses 1

Addresses

Other names 1

• Michigan Rehabilitation Specialists Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1912285164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788047",
            "telephone_number": "248-446-2801",
            "fax_number": "248-446-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 PONTIAC TRL",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788047",
            "telephone_number": "248-446-2801",
            "fax_number": "248-446-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN REHABILITATION SPECIALISTS SOUTH LYON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "810-231-6904"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Rehabilitation Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle M Mercieca, DDS
• Morgan J Merrill-Winowiecki, NP
• Tarek Nabil Metwally
• Michelle R Conforti (Gateway Dental Care)
• Michigan Rehabilitation Specialists of South Lyon LLC
• Jaclyn Esther Michniak
• Midwest Spine and Sports Center PLLC
• Bridget Shakira Miller, M.D.,
• Christina Miller, RDN
• Kallie Minarik, LLMSW

• Physical Therapist in South Lyon, MI
• Providers in South Lyon, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.