Organization Active NPI

Core Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Warren, MI
National Provider Identifier
1962657742
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

20871 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-2503

26000 Hoover Rd
Ste 100101
Warren, MI 48089
Phone (586) 576-7500

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.

Verify at the official NPI Registry.