NPIMap

Organization Active NPI

Northville Physical Rehabilitation, P.C.

  • Physical Therapist
  • Northville, MI
National Provider Identifier
1982770673
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501002317 Issued in MI
Legal business name
NORTHVILLE PHYSICAL REHABILITATION, P.C.
Practice address
215 E Main St
Suite B
Northville, MI 48167-1681
Phone
(248) 349-9339
Fax
(248) 349-9342
NPI assigned
Nov 27, 2006
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dennis E. EngererNPI 1215003819
Title
Director
Phone
(248) 349-9339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501002317 MI Primary

Addresses

Primary practice location

215 E Main St
Suite B
Northville, MI 48167-1681

Mailing address

215 E Main St
Suite B
Northville, MI 48167-1681
Phone (248) 349-9339

Other identifiers 7

IdentifierTypeStateIssuer
P00100555OtherMIMEDICARE RAILROAD
OH20094OtherMIBCBS
16869OtherMAPARTNERSHIP HEALTH
500573OtherMICARE CHOICES
0N58620OtherMIHAP
7543420OtherMIAETNA PIN
16869OtherMIMCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070613000412 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5193611101 Receives reassigned benefits from 20 practitioners
Practice locations: Brighton, MI; Howell, MI; New Hudson, MI; Northville, MI; Plymouth, MI

National Provider Directory

National Provider Directory

Locations

215 E Main St
Ste B
Northville, MI 48167
Phone (248) 349-9339

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1982770673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "address_2": "SUITE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671681",
            "telephone_number": "248-349-9339",
            "fax_number": "248-349-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "address_2": "SUITE B",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671681",
            "telephone_number": "248-349-9339",
            "fax_number": "248-349-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVILLE PHYSICAL REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ENGERER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-349-9339"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00100555",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OH20094",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERSHIP HEALTH",
            "identifier": "16869",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "500573",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "0N58620",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "7543420",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "16869",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.