Active NPI
Core Rehabilitation Services LLC
- Physical Therapy Clinic/Center
- Warren, MI
National Provider Identifier
1962657742
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
- 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
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
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.