NPI Code Detail JSON Logo

1013540335 NPI number — PERFORMANCE REHAB SPECIALISTS LLC

NPI Number: 1013540335
Health Care Provider/Practitioner: PERFORMANCE REHAB SPECIALISTS LLC

Information about “1013540335” NPI (PERFORMANCE REHAB SPECIALISTS LLC) exists in 1013540335 in HTML format HTML  |  1013540335 in plain Text format TXT  |  1013540335 in PDF (Portable Document Format) PDF  |  1013540335 in an XML format XML  formats.

NPI Number : 1013540335 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013540335",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PERFORMANCE REHAB SPECIALISTS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8200 OLD 13 MILE RD STE 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WARREN",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48093-2171",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "586-250-4584",
    "MailingAddressFaxNumber": "586-250-4594",
    "FirstLinePracticeLocationAddress": "8200 OLD 13 MILE RD STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARREN",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48093-2171",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-250-4584",
    "PracticeLocationAddressFaxNumber": "586-250-4594",
    "EnumerationDate": "02/14/2020",
    "LastUpdateDate": "02/14/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KAPOOR",
    "AuthorizedOfficialFirstName": "RACHNA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "586-250-4584",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2000X",
        "TaxonomyName": "Physical Therapy Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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