MEDICARE: I-FITNESS REHAB LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1285360305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I-FITNESS REHAB LLC

Provider Business Mailing Address
First Line	:	4390 NEWARK CIR
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2510
Country	:	US
Telephone Number	:	248-885-7402
Fax Number	:

Provider Business Practice Location Address
First Line	:	4390 NEWARK CIR
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2510
Country	:	US
Telephone Number	:	248-885-7402
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	BHARGAV PATEL
Credential	:
Telephone Number	:	248-885-7402

Provider Enumeration Date	:	07/29/2022
Last Update Date	:	03/17/2023

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Directions to “I-FITNESS REHAB LLC ” Practice Location

Language	Start Address	Practice Location

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