TOTAL CARE PHYSICAL THERAPY & REHABILITATION, INC (NPI# 1669479564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669479564 |
| Entity Type | Organization |
| Organization Name | TOTAL CARE PHYSICAL THERAPY & REHABILITATION, INC |
| Practice Address |
17950 Woodward Ave 2nd Floor Detroit MI 48203-2260 |
| Practice Telephone | 3138655200 |
| Practice Fax Number | 3138655300 |
| Mailing Telephone | 3138655200 |
| Mailing Fax Number | 3138655300 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2008-10-17 |
| Authorized Official Name | MR. VIJAY MISHRA (ALTERNATE ADMINISTRATOR, OT) |
| Authorized Official Telephone | 5868725133 |
| Authorized Official Credential | O.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
========= | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS OF MICHIGAN | 30695 | 01 |
| MA | AETNA | 5274758 | 01 |
| MA | BLUE CARE NETWORK | P-63118 | 01 |
| MI | HAP | P-236731 | 01 |
| Street Address |
17950 WOODWARD AVE 2ND FLOOR |
| City | DETROIT |
| State | MI |
| Zip Code | 48203-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093201790 | Lowantha Calloway | Peer Specialist | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2018-07-05 |
| 1861813685 | Detroit Central City Community Mental Health, Inc. | Clinic/Center | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2013-12-20 |
| 1679823389 | Healthcare Administrative Services LLC | General Practice | 17950 Woodward Ave, Upper Level, Detroit, MI 48203-2260 | 2012-09-11 |
| 1083842256 | Manjula Roy | Family Medicine | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2009-06-26 |
| 1487731816 | Maimoona Hakim Husain | General Practice | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2006-11-01 |
| 1730275868 | St. Joseph Medical Center PC | Family Medicine | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2006-10-05 |
| 1053351908 | Franklin Medical Pharmacy Inc | Pharmacy | 17950 Woodward Ave, Detroit, MI 48203-2260 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992355135 | James Calloway | Peer Specialist | 1211 E Mcnichols, Detroit, MI 48203 | 2019-09-19 |
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1346601838 | Rainbow Center of Michigan | Health Maintenance Organization | 12501 Hamilton Ave., Highland Park, MI 48203 | 2016-03-11 |
| 1134502354 | Minds Moving In New Directions Inc | Community/Behavioral Health | 62 Massachusetts St, Highland Park, MI 48203 | 2015-07-07 |
| 1811312937 | Brea Holloway | Home Health | 20249 Yacama Rd, Detroit, MI 48203 | 2014-02-26 |
| 1770821795 | St John Providence Health Systems | Community/Behavioral Health | 1150 Lantz St, Detroit, MI 48203 | 2013-01-25 |
| 1871845412 | Waneta Darcell Dickerson | Social Worker | 169 W. Buena Vista, Highlandpark, MI 48203 | 2012-10-05 |
| 1629331939 | Maureen Connolly | Pediatrics | 77 Victor St, Highland Park, MI 48203 | 2012-06-21 |
| 1578850251 | Detroit Recovery Project | Community/Behavioral Health | 1121 East Mc Nichols, Detroit, MI 48203 | 2011-07-01 |
| 1265728414 | Barbara Suzanne Tyson | Home Health | 301 Glendale St, Apt B8, Highland Park, MI 48203 | 2011-06-27 |
| Find all providers in zip 48203 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
| 1285935536 | Essential Therapy and Rehabilitation Services, Inc. | Clinic/Center | 14163 Greenfield Rd, Detroit, MI 48227-2191 | 2010-11-03 |
| 1568488062 | The Health Team Inc. | Clinic/Center | 18272 Livernois Ave, Detroit, MI 48221-2773 | 2006-07-15 |
| 1508073826 | Great American Rehabilitation and Physical Therapy Center, Inc. | Clinic/Center | 3800 Woodward Ave, Suite 510, Detroit, MI 48201-2061 | 2007-05-17 |
| 1245376268 | Medical Rehab, P.C. | Clinic/Center | 19360 Livernois Ave, Detroit, MI 48221-1761 | 2007-01-29 |
| 1982779260 | Rehabilitation Institute of Michigan | Clinic/Center | 261 Mack Ave, Detroit, MI 48201-2417 | 2006-11-21 |
| 1306929450 | Rehab One, Inc. | Clinic/Center | 19460 Grand River Ave, Detroit, MI 48223-1200 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257287 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 5858 S 47 Rd, Cadillac, MI 49601-9508 | 2020-05-26 |
| 1538790241 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 2325 Rockwell Dr, Midland, MI 48642-9325 | 2020-01-31 |
| 1386295210 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 641 W 9 Mile Rd Ste D, Ferndale, MI 48220-1779 | 2019-09-23 |
| 1013566199 | J.l Hunt Therapeutics | Clinic/Center | 43700 Woodward Ave Ste 108, Bloomfield Hills, MI 48302-5060 | 2019-09-10 |
| 1427521723 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3951 W Milham Ave, Portage, MI 49024-1088 | 2019-01-09 |
| 1366934184 | Rehabcare Group East, LLC | Clinic/Center | 1300 N Telegraph Rd, Dearborn, MI 48128-1204 | 2018-06-06 |
| 1902305048 | Nrmi, LLC | Clinic/Center | 14461 E 11 Mile Rd, Warren, MI 48088-4886 | 2018-02-05 |
| 1194230888 | Blue Water Speech Therapy | Clinic/Center | 7950 Caberfae Trl, Clarkston, MI 48348-3707 | 2017-12-05 |
| 1093236291 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1620 S Mission St Ste O, Mt Pleasant, MI 48858-4466 | 2017-06-28 |
| 1164952388 | A Plus Rehab LLC | Clinic/Center | 24315 Northwestern Hwy Ste 101, Southfield, MI 48075-6815 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TOTAL CARE PHYSICAL THERAPY & REHABILITATION, 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.