INDIVIDUALIZED PHYSICAL THERAPY & REHAB P.C. (NPI# 1932208535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932208535 |
Entity Type | Organization |
Organization Name | INDIVIDUALIZED PHYSICAL THERAPY & REHAB P.C. |
Practice Address |
44633 Joy Rd Canton MI 48187 |
Mailing Address |
44633 Joy Rd Canton MI 48187-1730 |
Practice Telephone | 7347106600 |
Practice Fax Number | 7347103002 |
Mailing Telephone | 7347106600 |
Mailing Fax Number | 7347103002 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2016-05-09 |
Authorized Official Name | ABRAHAM PANACHAKUNNIL JOSEPH (ADMINISTRATOR) |
Authorized Official Telephone | 2489462504 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CROSS BLUE SHIELD | 30381 | 01 |
Street Address |
44633 JOY RD |
City | CANTON |
State | MI |
Zip Code | 48187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629036389 | Robert Daniel Travis | Orthopaedic Surgery | 44633 Joy Rd, Suite 200, Canton, MI 48187-1730 | 2006-05-03 |
1104292713 | Nicole D Teifer Dds Pllc | Dentist | 44633 Joy Rd, Ste 300, Canton, MI 48187-1730 | 2015-08-18 |
1598921660 | Nicole Danielle Teifer | Dentist | 44633 Joy Rd, Suite 300, Canton, MI 48187-1730 | 2008-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114547874 | Savannah Dugan | Occupational Therapist | 5969 N Canton Center Rd, Canton, MI 48187 | 2020-04-23 |
1225674823 | Cura Professional Group | Home Health | 1638 East Lakeview Lane, Canton, MI 48187 | 2019-11-19 |
1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
1447734496 | Integrated Health Pharmacy LLC | Pharmacy | 49650 Cherry Hill Rd., Canton, MI 48187 | 2018-09-16 |
1285117499 | Susan Rhoton | Licensed Vocational Nurse | 6223 N Canton, Suite 201, Canton, MI 48187 | 2018-09-13 |
1285110767 | Personalized Nursing Light House Inc | Substance Abuse Rehabilitation Facility | 7752 N Canton Center Rd Ste 120, Canton, MI 48187 | 2018-07-17 |
1083111793 | Heydie Alejandra Orr | Social Worker | 5840 N Canton Center Rd Ste 221, Canton, MI 48187 | 2018-04-09 |
1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
1689192221 | Arcturus Pllc | Physical Therapist | 5820 Lilley Rd. Suite 6, Canton, MI 48187 | 2017-09-04 |
Find all providers in zip 48187 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861003725 | Amazing Achievements Occupational Therapy, Pllc | Clinic/Center | 174 Morgan Rd, Canton, CT 06019-2034 | 2020-08-13 |
1376757104 | T. J. Tyler, Inc. | Clinic/Center | 5156 Whipple Avenue Nw, Canton, OH 44718-2663 | 2007-05-10 |
1427141092 | Physiotherapy Associates Inc | Clinic/Center | 44555 Joy Rd, Canton, MI 48187-1771 | 2006-10-02 |
1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
1497313464 | Novacare Rehabilitation of Ohio, Inc. | Clinic/Center | 4082 Fulton Dr Nw, Canton, OH 44718-2866 | 2019-06-04 |
1700251998 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 4515 22nd St Nw, C/o Canton Regency, Canton, OH 44708-1573 | 2015-12-14 |
1558500231 | Therabeat, Inc. | Clinic/Center | 310 Paper Trail Way, Suite 302, Canton, GA 30115-5203 | 2009-02-19 |
1386763159 | Belden Village Pain and Wellness Center | Clinic/Center | 4368 Dressler Rd Nw, Suite 201, Canton, OH 44718-2771 | 2007-03-29 |
1780697656 | Concorde Therapy Group, Inc. | Clinic/Center | 4645 Belpar St Nw, Canton, OH 44718-3602 | 2006-08-14 |
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 |
1548828502 | Chsc Inc | Clinic/Center | 10125 W 8 Mile Rd, Detroit, MI 48221-1004 | 2019-06-04 |
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 |
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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.