GREAT LAKES PHYSIATRISTS PC (NPI# 1811096548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811096548 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES PHYSIATRISTS PC |
| Practice Address |
25311 Little Mack Ave Suite B St Clair Shores MI 48081 |
| Mailing Address |
8301 Reliable Pkwy Chicago IL 60686-0083 |
| Practice Telephone | 5864982400 |
| Practice Fax Number | 5864982800 |
| Mailing Telephone | 5864982400 |
| Mailing Fax Number | 5864982800 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | DR. FRANK S POLLINA (PRESIDENT) |
| Authorized Official Telephone | 5864982400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208100000X | Physical Medicine & Rehabilitation | 4301045967 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1811096548 | 05 |
| Street Address |
25311 LITTLE MACK AVE SUITE B |
| City | ST CLAIR SHORES |
| State | MI |
| Zip Code | 48081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970348 | Joseph P Femminineo | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Suite B, St Clair Shores, MI 48081-3370 | 2005-08-30 |
| 1124066659 | Team Rehabilitation Scs, LLC | Physical Therapist | 25311 Little Mack Ave, Suite A, St Clair Shores, MI 48081-3370 | 2006-06-04 |
| 1457336711 | Shelly Rae Stempfle | Physician Assistant | 25311 Little Mack Ave, Suite B, St Clair Shores, MI 48081-3370 | 2005-12-09 |
| 1275527327 | Anthony F Femminineo | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Suite B, St Clair Shores, MI 48081-3370 | 2005-09-06 |
| 1992799126 | Frank S Pollina | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Ste B, St Clair Shores, MI 48081-3370 | 2005-09-02 |
| 1073507208 | John C Pollina | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Ste B, St Clair Shores, MI 48081-3370 | 2005-09-02 |
| 1083607691 | Raymond T Bauer | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Suite B, St Clair Shores, MI 48081-3370 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174517304 | Pano L Papalekas | Physical Medicine & Rehabilitation | 25311 Little Mack, Ste B, St Clair Shores, MI 48081 | 2005-09-02 |
| 1710970348 | Joseph P Femminineo | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Suite B, St Clair Shores, MI 48081-3370 | 2005-08-30 |
| 1659376267 | Stephen Wilson | Physical Medicine & Rehabilitation | 24345 Harper Ave, St Clair Shores, MI 48080 | 2005-06-20 |
| 1275527327 | Anthony F Femminineo | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Suite B, St Clair Shores, MI 48081-3370 | 2005-09-06 |
| 1992799126 | Frank S Pollina | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Ste B, St Clair Shores, MI 48081-3370 | 2005-09-02 |
| 1073507208 | John C Pollina | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Ste B, St Clair Shores, MI 48081-3370 | 2005-09-02 |
| 1083607691 | Raymond T Bauer | Physical Medicine & Rehabilitation | 25311 Little Mack Ave, Suite B, St Clair Shores, MI 48081-3370 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891298 | James T Gilas M.d. Spine and Joint Center Pllc | Physical Medicine & Rehabilitation | 26635 Southfield Rd, Lathrup Village, MI 48076-4530 | 2020-11-03 |
| 1730786351 | Lance Forest Hunt | Physical Medicine & Rehabilitation | 1193 Hanover St, Owosso, MI 48867-4906 | 2020-10-06 |
| 1801401161 | Michigan Total Rehab Services, Pllc | Physical Medicine & Rehabilitation | 4677 Towne Centre Rd Ste 102, Saginaw, MI 48604-2847 | 2020-09-14 |
| 1114537818 | Premier Integrative Medical Group, Pllc | Physical Medicine & Rehabilitation | 391 S Shore Dr Ste 213, Battle Creek, MI 49014-5446 | 2020-08-06 |
| 1952910911 | A One Rehab LLC | Physical Medicine & Rehabilitation | 24315 Northwestern Hwy Ste 1, Southfield, MI 48075-6815 | 2020-07-27 |
| 1831716158 | Np Health of Mi Pllc | Physical Medicine & Rehabilitation | 5119 W Bristol Rd Ste A, Flint, MI 48507-2966 | 2020-07-02 |
| 1891311932 | Fnu Arzoo Hasija | Physical Medicine & Rehabilitation | 1428 Brians Way, Rochester Hills, MI 48307-2902 | 2020-06-24 |
| 1700402559 | David Liao Jr. | Physical Medicine & Rehabilitation | 2102 Orleans St, Detroit, MI 48207-2769 | 2020-06-17 |
| 1073139978 | Zeeshan Haque | Physical Medicine & Rehabilitation | 200 Jefferson Ave Se Ste 305, Grand Rapids, MI 49503-4502 | 2020-06-17 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| Find all providers with the same taxonomy | ||||
| City | ST CLAIR SHORES |
| Zip Code | 48081 |
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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.