Healthcare Provider Details

I. General information

NPI: 1164257028
Provider Name (Legal Business Name): ACCESS INTEGRATED REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2024
Last Update Date: 09/02/2024
Certification Date: 09/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26400 LAHSER RD STE 107
SOUTHFIELD MI
48033-2672
US

IV. Provider business mailing address

39755 GARFIELD RD
CLINTON TOWNSHIP MI
48038-2799
US

V. Phone/Fax

Practice location:
  • Phone: 248-565-7955
  • Fax:
Mailing address:
  • Phone: 248-565-7955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERT N BAYER
Title or Position: PRACTICE MANAGER
Credential: MD
Phone: 248-565-7955