Organization Active NPI

BPS Rehabilitation Specialist PC

  • Rehabilitation Practitioner
  • Flint, MI
National Provider Identifier
1962442152
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
BPS REHABILITATION SPECIALIST PC
Practice address
3400 Fleckenstein Rd
Suite 1
Flint, MI 48507-3042
Phone
(810) 877-7370
Fax
(810) 230-9338
NPI assigned
Jun 7, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Dr. James Stathakios Jr., M.D.NPI 1053351247
Title
President
Phone
(810) 877-7375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

3400 Fleckenstein Rd
Suite 1
Flint, MI 48507-3042

Mailing address

3400 Fleckenstein Dr S 1
Flint, MI 48507
Phone (810) 877-7370

National Provider Directory

National Provider Directory

Locations

3400 Fleckenstein Rd
#1
Flint, MI 48507

3400 Fleckenstein Rd
Ste 1
Flint, MI 48507
Phone (810) 788-7370

9061 Miller Rd
Ste 1
Swartz Creek, MI 48473
Phone (810) 630-0884

8243 Hall Rd
Ste 202
Utica, MI 48317
Phone (586) 726-1960

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1962442152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN DR S 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48507",
            "telephone_number": "810-877-7370",
            "fax_number": "810-230-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073042",
            "telephone_number": "810-877-7370",
            "fax_number": "810-230-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BPS REHABILITATION SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "STATHAKIOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-877-7375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.