Healthcare Provider Details

I. General information

NPI: 1578694808
Provider Name (Legal Business Name): REHAB ASSOCIATE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21618 E 9 MILE RD
SAINT CLAIR SHORES MI
48080-1812
US

IV. Provider business mailing address

21618 E 9 MILE RD
SAINT CLAIR SHORES MI
48080-1812
US

V. Phone/Fax

Practice location:
  • Phone: 586-443-5869
  • Fax: 586-443-5896
Mailing address:
  • Phone: 586-443-5869
  • Fax: 586-443-5896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MR. SURENDRA KUMAR
Title or Position: ADMINISTRATOR
Credential: OTR
Phone: 586-443-5869