CUSTOM REHAB SOLUTION INC (NPI# 1306288931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306288931 |
| Entity Type | Organization |
| Organization Name | CUSTOM REHAB SOLUTION INC |
| Practice Address |
8250 Lockerbie Rd Parma MI 49269-9335 |
| Practice Telephone | 5179454980 |
| Mailing Telephone | 5179454980 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2014-11-28 |
| Authorized Official Name | FREDERIC HETHERWIXK (PRESIDENT) |
| Authorized Official Telephone | 5179454980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
5501006193 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8250 LOCKERBIE RD |
| City | PARMA |
| State | MI |
| Zip Code | 49269-9335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740512839 | Elizabeth A Hetherwick | Physical Therapist | 8250 Lockerbie Rd, Parma, MI 49269-9335 | 2010-02-01 |
| 1306280219 | Custom Rehab Solutions, Inc. | Mechanotherapist | 8250 Lockerbie Rd, Parma, MI 49269-9335 | 2013-04-22 |
| 1396077483 | Custom Rehab Solutions Pllc | Physical Therapist | 8250 Lockerbie Rd, Parma, MI 49269-9335 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538589676 | Rebecca May | Licensed Practical Nurse | 127 Railroad St, Parma, MI 49269 | 2014-04-16 |
| 1871509042 | Dale Arthur Schumann | Pharmacist | 1350 W. Chicago, Tecumseh, MI 49269 | 2006-07-31 |
| 1346517133 | Nichole Plumb | Physical Therapy Assistant | 9543 Mccain Rd, Parma, MI 49269-9414 | 2011-11-21 |
| 1316599780 | Vicki Carlson | Registered Nurse | 367 S Union St, Parma, MI 49269-9418 | 2019-07-15 |
| 1356661201 | United Country Care Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 356 S Union St, Parma, MI 49269-9418 | 2010-06-02 |
| 1548816788 | Carissa Marie Cousino | Physical Therapy Assistant | 4029 Southwell Dr, Parma, MI 49269-9419 | 2019-08-14 |
| 1760712723 | Michelle Monique Mitchell | Respite Care | 7957 Brandon Dr, Parma, MI 49269-9519 | 2010-01-13 |
| 1053791194 | Stacie Dosenberry | Licensed Practical Nurse | 7915 W Circle Dr, Parma, MI 49269-9534 | 2015-06-03 |
| 1669911004 | Linda Kay Shaw | Rehabilitation Practitioner | 115 John St, Parma, MI 49269-9538 | 2017-02-17 |
| 1750618815 | Barbara Carlyne Jordon | Foster Care Agency | 7340 Mccain Rd, Parma, MI 49269-9711 | 2009-11-11 |
| Find all providers in zip 49269 | ||||
| Taxonomy Code | 2251E1300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Electrophysiology, Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295877603 | John J Palazzo | Physical Therapist | 26750 Providence Pkwy, Ste. 220, Novi, MI 48374-1211 | 2007-02-13 |
Please comment or provide details below to improve the information on CUSTOM REHAB SOLUTION INC.
| 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.