Healthcare Provider Details

I. General information

NPI: 1407650799
Provider Name (Legal Business Name): PARAMOUNT REHABILITATION SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 W ROLLING HILLS DR
BRIDGEPORT MI
48722-9674
US

IV. Provider business mailing address

PARARMOUNT REHABILITATION SERVICES 2535 22ND STREET
BAY CITY MI
48708
US

V. Phone/Fax

Practice location:
  • Phone: 989-331-0623
  • Fax:
Mailing address:
  • Phone: 989-891-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MANJUSHA SUNIL MALEWAR
Title or Position: REHAB DIRECTOR
Credential:
Phone: 989-891-9800