MEDICARE: LMT REHABILITATION ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081H0002X	Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician	208100000X	MI

General Provider Information

NPI Number	:	1093933806
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LMT REHABILITATION ASSOCIATES

Provider Business Mailing Address
First Line	:	30701 BARRINGTON ST STE 100
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-5114
Country	:	US
Telephone Number	:	248-616-1170
Fax Number	:	248-589-9875

Provider Business Practice Location Address
First Line	:	1701 SOUTH BLVD E STE 120
Second Line	:	WELLPOINTE CENTER
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-6115
Country	:	US
Telephone Number	:	248-852-0860
Fax Number	:	248-852-0901

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	AMY W THOMAS
Credential	:
Telephone Number	:	248-616-1170

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/23/2021

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