Michigan First Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MICHIGAN FIRST REHAB

Practice address

23350 Greenfield Rd Ste 101a
Oak Park, MI 48237-2496

Phone

(248) 544-1600

Fax

(313) 366-6700

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Jordan Thomas Dehko

Title

Owner

Phone

(248) 882-0794

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1972076180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 101A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496",
            "telephone_number": "248-544-1600",
            "fax_number": "313-366-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23350 GREENFIELD RD STE 101A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372496",
            "telephone_number": "248-544-1600",
            "fax_number": "313-366-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21331 W 8 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482191222",
            "country_code": "US",
            "telephone_number": "248-882-0794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN FIRST REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "DEHKO",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-882-0794"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUTO",
            "identifier": "83-4121279",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.