Healthcare Provider Details

I. General information

NPI: 1699820258
Provider Name (Legal Business Name): PARAMOUNT REHABILITATION SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 22ND ST
BAY CITY MI
48708
US

IV. Provider business mailing address

2535 22ND ST
BAY CITY MI
48708
US

V. Phone/Fax

Practice location:
  • Phone: 989-891-9800
  • Fax: 989-891-0800
Mailing address:
  • Phone: 989-891-9800
  • Fax: 989-891-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501005570
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501006073
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501003922
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201004313
License Number StateMI
# 7
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number1051100450
License Number StateMI
# 8
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number01092746
License Number StateMI
# 9
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. MANJUSHA MALEWAR
Title or Position: ADMINSTRATOR
Credential: R.P.T.
Phone: 989-891-9800