Active NPI
Core Rehabilitation Services LLC
- Physical Therapy Clinic/Center
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CORE REHABILITATION SERVICES LLC
- Practice address
- 26000 Hoover Rd Ste 100-101
Warren, MI 48089-1167 - Phone
- (586) 576-7500
- NPI assigned
- Nov 20, 2008
- Last updated
- Jul 3, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Anemaecore A Brodith, P.T.
- Title
- Owner
- Phone
- (313) 478-1182
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
26000 Hoover Rd Ste 100-101
Warren, MI 48089-1167
Mailing address
20507 Edmunton St
Saint Clair Shores, MI 48080-3753
Phone (313) 478-1182
National Provider Directory
National Provider DirectoryLocations
20871 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-2503
26000 Hoover Rd
Ste 100101
Warren, MI 48089
Phone (586) 576-7500
26000 Hoover Rd
Ste 101
Warren, MI 48089
Phone (313) 406-4413
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Warren, MI
- NPI 1053500173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625270400000",
"number": "1962657742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20507 EDMUNTON ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480803753",
"telephone_number": "313-478-1182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26000 HOOVER RD STE 100-101",
"city": "WARREN",
"state": "MI",
"postal_code": "480891167",
"telephone_number": "586-576-7500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORE REHABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-20",
"last_updated": "2021-07-03",
"certification_date": "2021-07-03",
"status": "A",
"authorized_official_last_name": "BRODITH",
"authorized_official_first_name": "ANEMAECORE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-478-1182",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.