HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC. (NPI# 1154386563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154386563 |
| Entity Type | Organization |
| Organization Name | HAMTRAMCK PHYSICAL THERAPHY AND REHAB SERVICES, INC. |
| Practice Address |
20755 Greenfield Rd Suite 803 Southfield MI 48075-5403 |
| Practice Telephone | 2485520283 |
| Practice Fax Number | 2485520576 |
| Mailing Telephone | 2485520283 |
| Mailing Fax Number | 2485520576 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-09-24 |
| Authorized Official Name | MRS. SUSAN SAN TOS (ADMINISTRATOR) |
| Authorized Official Telephone | 2485520283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| Y | 305R00000X | Preferred Provider Organization | 236789 | MI | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PROVIDER NUMBER (MEDICARE | 236789 | 01 |
| Street Address |
20755 GREENFIELD RD SUITE 803 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310128 | Laz Medical Group PC | Family Medicine | 20755 Greenfield Rd, #1101, Southfield, MI 48075-5403 | 2005-07-20 |
| 1316467319 | Enlightened Medical Home Visit Pllc | Clinic/Center | 20755 Greenfield Rd, Suite 803, Southfield, MI 48075 | 2017-06-21 |
| 1245764737 | Sharon Blackshire-tubie | Nurse Practitioner | 20755 Greenfield Rd, #203, Southfield, MI 48075-5403 | 2017-04-12 |
| 1487198255 | Monique R Clark | Nurse Practitioner | 20755 Greenfield Rd, Suite 100, Southfield, MI 48075-5403 | 2016-12-13 |
| 1376094268 | Therahealth Physio Therapy | Preferred Provider Organization | 20755 Greenfield Rd, Suite 602, Southfield, MI 48075-5403 | 2016-10-17 |
| 1528518511 | Progressive Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Ste 200, Southfield, MI 48075-5403 | 2016-10-13 |
| 1265982466 | Uche Obua | Nurse Practitioner | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2016-10-12 |
| 1831543768 | Metro Mobility, LLC | Non-emergency Medical Transport (VAN) | 20755 Greenfield Rd, Ste 810, Southfield, MI 48075 | 2016-04-18 |
| 1992183875 | Mobility Home Health Care Inc | Home Health | 20755 Greenfield Rd, Suite 202, Southfield, MI 48075-5403 | 2015-05-12 |
| 1114330966 | Kinetix Rehab Services, Inc. | Clinic/Center | 20755 Greenfield Rd, Southfield, MI 48075-5403 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
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| 1760830368 | Michigan Health Preference LLC | Preferred Provider Organization | 16000 W 9 Mile Rd Ste 303, Southfield, MI 48075 | 2016-05-25 |
| 1861853939 | Complete Care and Physical Therapy LLC | Preferred Provider Organization | 21417 Seminole St, Southfield, MI 48033-5056 | 2016-03-16 |
| 1780294850 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd, Southfield, MI 48033-3849 | 2020-08-04 |
| 1831631597 | Ok 2 Playy | Preferred Provider Organization | 16000 W 9 Mile Rd, 112, Southfield, MI 48075-4808 | 2016-11-12 |
| 1376094268 | Therahealth Physio Therapy | Preferred Provider Organization | 20755 Greenfield Rd, Suite 602, Southfield, MI 48075-5403 | 2016-10-17 |
| 1881904605 | Thomas Park M.d. PC | Preferred Provider Organization | 23077 Greenfield Rd, Suite 257, Southfield, MI 48075-3709 | 2010-10-14 |
| 1063503910 | Medical Services of Detroit | Preferred Provider Organization | 24261 Greenfield Rd, Southfield, MI 48075-3117 | 2006-09-27 |
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| 1013536150 | Najai R Beck | Preferred Provider Organization | 6333 Colorado St, Romulus, MI 48174-1819 | 2020-04-09 |
| 1174161178 | Nile Construction LLC | Preferred Provider Organization | 6729 Pelham Rd, Allen Park, MI 48101-2340 | 2019-12-20 |
| 1346723608 | Home Health Pro, LLC | Preferred Provider Organization | 30200 Telegraph Rd Ste 131, Bingham Farms, MI 48025-4577 | 2018-09-12 |
| 1104362938 | Maternal Instinct Doulas | Preferred Provider Organization | 4899 Underwood St, Detroit, MI 48204-2126 | 2017-01-18 |
| 1942750740 | Hope Network | Preferred Provider Organization | 1127 Wealthy St Se, #3, Grand Rapids, MI 49506-1598 | 2016-10-05 |
| 1659727303 | Raymond L. Augenstein | Preferred Provider Organization | 11682 E Gates Rd, Riverdale, MI 48877-9566 | 2016-05-12 |
| 1154777183 | Desiree Santiago | Preferred Provider Organization | 517 Graten St, Birmingham, MI 48009-6519 | 2016-05-09 |
| 1881062941 | Ford Dental Group | Preferred Provider Organization | 5601 Schaefer Rd Ste 101, Dearborn, MI 48126-4713 | 2015-09-07 |
| 1205230257 | Maria's Tender Loving Home Care | Preferred Provider Organization | 7233 Voerner Ave, Center Line, MI 48015-1810 | 2014-10-20 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.