Healthcare Provider Details

I. General information

NPI: 1699978460
Provider Name (Legal Business Name): REHABILITATION MASTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 01/15/2021
Certification Date: 01/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 BRUSH ST
SAINT JOHNS MI
48879-1544
US

IV. Provider business mailing address

48490 STONERIDGE DR
NORTHVILLE MI
48168-8675
US

V. Phone/Fax

Practice location:
  • Phone: 248-662-5099
  • Fax: 248-284-7525
Mailing address:
  • Phone: 734-576-1364
  • Fax: 248-284-7525

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
# 3
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number5501005354
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number5201001674
License Number StateMI

VIII. Authorized Official

Name: MONIKA MADAN SARIN
Title or Position: OT/R
Credential: OTR
Phone: 734-576-1365