Healthcare Provider Details

I. General information

NPI: 1174698336
Provider Name (Legal Business Name): MEDICAL REHABILITATION PHYSICIANS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 10/02/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2935 HEALTH PARKWAY
MT PLEASANT MI
48858
US

IV. Provider business mailing address

2935 HEALTH PARKWAY
MT PLEASANT MI
48858
US

V. Phone/Fax

Practice location:
  • Phone: 989-772-1609
  • Fax: 989-773-6279
Mailing address:
  • Phone: 989-772-1609
  • Fax: 989-773-6279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMB009073
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMB064477
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberHR077496
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMB064477
License Number StateMI

VIII. Authorized Official

Name: MARVIN N BLEIBERG
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 989-772-1609