NPIMap

Organization Active NPI

Professuinal Rehabilitation Center Inc.

  • Physical Therapist
  • Shelby Township, MI
National Provider Identifier
1932200797
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011002 Issued in MI
Legal business name
PROFESSUINAL REHABILITATION CENTER INC.
Practice address
47824 Agnew Dr
Shelby Township, MI 48315-5043
Phone
(248) 396-3569
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mr. George C Stephen, RPTNPI 1023119880
Title
President
Phone
(248) 396-3569

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 5501011002 MI Primary

Addresses

Primary practice location

47824 Agnew Dr
Shelby Township, MI 48315-5043

Mailing address

47824 Agnew Dr
Shelby Township, MI 48315-5043
Phone (248) 396-3569

National Provider Directory

National Provider Directory

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1932200797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47824 AGNEW DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155043",
            "telephone_number": "248-396-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47824 AGNEW DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483155043",
            "telephone_number": "248-396-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSUINAL REHABILITATION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-396-3569",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.