OCCUPATIONAL AND REHABAILITATION MEDICINE, PC (NPI# 1487695920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487695920 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL AND REHABAILITATION MEDICINE, PC |
| Practice Address |
25650 Outer Dr Ste 500 Lincoln Park MI 48146-2096 |
| Practice Telephone | 3133885939 |
| Practice Fax Number | 3133885969 |
| Mailing Telephone | 3133385939 |
| Mailing Fax Number | 3133885969 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | DR. IFEYINWA ILECHUKWU (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 31333885939 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | II072967 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4695533 | 05 |
| Street Address |
25650 OUTER DR STE 500 |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 48146-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763230 | Whitney Renee White | Nurse Practitioner | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2017-11-15 |
| 1598293987 | Rebecca J Schwarcz | Dentist | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2017-05-30 |
| 1053705269 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2015-03-25 |
| 1710306055 | Gregory Treado | Pediatrics | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2014-04-15 |
| 1508280116 | Western Wayne Family Health Centers | Clinic/Center | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2014-02-18 |
| 1700129251 | Brooke Bendix | Social Worker | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2013-04-03 |
| 1841433588 | Michigan Visiting Physicians PC | General Practice | 25650 Outer Dr, Suite 401, Lincoln Park, MI 48146-2096 | 2009-04-10 |
| 1447499694 | Meridian Medical Pllc | Clinic/Center | 25650 Outer Dr, Suite 400, Lincoln Park, MI 48146-2096 | 2009-02-11 |
| 1164571824 | Oakwood Young Programs, LLC | Pediatrics | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2007-01-10 |
| 1982766192 | Oakwood Ambulatory, LLC | Internal Medicine | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356967251 | Luisa Sofia Amaya | Behavior Technician | 1360 Porter Ave, Lincoln Park, MI 48146 | 2020-06-17 |
| 1851854129 | Abhi Patel | Physical Therapist | 25050 W. Outer Dr, Ste: 204, Lincoln Park, MI 48146 | 2019-04-12 |
| 1831608827 | Back On Track Physical Therapy LLC | Clinic/Center | 1132 Southfield Road, Lincoln Park, MI 48146 | 2017-09-22 |
| 1326568221 | Priscilla Cano | Social Worker | 1600 Porter, Detroit, MI 48146 | 2017-06-21 |
| 1952650194 | Melissa Margaret Belinc | Psychologist | 26300 Outer Drive, Lincoln Park, MI 48146 | 2012-09-04 |
| 1497011746 | Richard John Daniels | Physical Therapy Assistant | 1538 Morris, Lincoln Park, MI 48146 | 2012-04-11 |
| 1740563261 | Myesha Renee Thurman | Social Worker | 26180 W. Outer Drive, Lincoln Park, MI 48146 | 2011-09-21 |
| 1033491162 | Heidi Bremer | Social Worker | 26180 West Outer Drive, Lincoln Park, MI 48146 | 2011-09-14 |
| 1871823526 | Richard Dale Mott | Counselor | 1564 Arlington, Lincoln Park, LA 48146 | 2009-12-31 |
| 1386801777 | Laura Ann Kaakati-weber | Psychologist | 26184 West Outer Drive, Lincoln Park, MI 48146 | 2008-05-22 |
| Find all providers in zip 48146 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891704292 | David A Gold | Specialist | 61 Beaverbrook Rd Ste 201, Lincoln Park, NJ 07035-1751 | 2006-08-05 |
| 1376874321 | L. C. Rivera, M.d.,p.c. | Specialist | 26190 Outer Dr, Lincoln Park, MI 48146-2084 | 2010-01-14 |
| 1962699835 | Advanced Surgical Solutions, LLC | Specialist | 61 Beaverbrook Rd, Suite 101, Lincoln Park, NJ 07035-1748 | 2007-09-25 |
| 1700072980 | Internal Medicine Associates of Lincoln Park, P.a. | Specialist | 166 Main St Ste 1a, Lincoln Park, NJ 07035-1791 | 2007-09-20 |
| 1932301371 | Peggy Ann Byberg | Specialist | 1736 Fort St, Lincoln Park, MI 48146-1904 | 2007-06-05 |
| 1598712556 | Orthopedic Surgery & Sports Medicine Center, LLC | Specialist | 61 Beaverbrook Rd, Ste 201, Lincoln Park, NJ 07035-1748 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLN PARK |
| Zip Code | 48146 |
Please comment or provide details below to improve the information on OCCUPATIONAL AND REHABAILITATION MEDICINE, PC.
| 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.