Physicare Rehab, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICARE REHAB, INC.

Practice address

23600 Harper Ave
Suite 101
Saint Clair Shores, MI 48080-1445

Phone

(586) 447-1327

Fax

(586) 447-1406

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

M.R. Hyder

Title

Administrator

Phone

(586) 447-1327

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972666022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23600 HARPER AVE",
            "address_2": "SUITE 101",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801445",
            "telephone_number": "586-447-1327",
            "fax_number": "586-447-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23600 HARPER AVE",
            "address_2": "SUITE 101",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801445",
            "telephone_number": "586-447-1327",
            "fax_number": "586-447-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICARE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "M.R.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-447-1327"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "30447",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry Drug Stores Inc and Subsidiaries
• Richard T Perry, MD
• Sarah Petero
• Thao Thi Phan, LMSW-C
• David Philbrick, ATC
• Alice Piatkowski, DDS
• Patrina G Pica-Kras, LPC
• Branislav Alexander Pichna, M.D.
• Devin Pickett, OD
• Kathi Piepenbrok

• Physical Therapy Clinic/Center in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.