Specialists in Rehabilitation Medicine PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPECIALISTS IN REHABILITATION MEDICINE PC

Practice address

8391 Commerce Rd Ste 107
Commerce TWP, MI 48382-4489

Phone

(248) 360-8660

Fax

(248) 360-9235

NPI assigned

Apr 18, 2018

Organization subpart

Yes

Parent organization

SPECIALISTS IN REHABILITATION MEDICINE PCAs reported in NPPES

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

Authorized official

Name

Brian Michael Roth

Title

President

Phone

(248) 650-5861

Specialties & licenses 1

Addresses

Other names 1

• SIRM Commerce Prescribing Other name

Tax ID family

Specialists in Rehab Med PC2 organizations share this tax ID, including this one

Part of

Specialists in Rehab Med PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Specialists in Rehabilitation Medicine PC

  • Physical Medicine & Rehabilitation Physician
  • Bloomfield Hills, MI
  • NPI 1245727981
  NPD tax ID

Locations

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1962999607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD STE 107",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-360-8660",
            "fax_number": "248-360-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD STE 107",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-360-8660",
            "fax_number": "248-360-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALISTS IN REHABILITATION MEDICINE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALISTS IN REHABILITATION MEDICINE PC",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-650-5861"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIRM Commerce Prescribing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Commerce TWP, MI
• Providers in Commerce TWP, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.