Healthcare Provider Details

I. General information

NPI: 1669686390
Provider Name (Legal Business Name): THOMAS NABITY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 BARCLAY CIR STE A
ROCHESTER HILLS MI
48307-5816
US

IV. Provider business mailing address

355 BARCLAY CIR STE A
ROCHESTER HILLS MI
48307-5816
US

V. Phone/Fax

Practice location:
  • Phone: 248-216-1008
  • Fax: 855-711-5063
Mailing address:
  • Phone: 248-216-1008
  • Fax: 855-711-5063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number4301083370
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: