MEDICARE: RAINBOW PHYSICAL THERAPY & REHAB LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	347C00000X	Private Vehicle
3	273Y00000X	Rehabilitation Hospital Unit
4	291U00000X	Clinical Medical Laboratory
5	310400000X	Assisted Living Facility
6	311ZA0620X	Adult Care Home Facility
7	332BC3200X	Customized Equipment (DME)
8	332BD1200X	Dialysis Equipment & Supplies (DME)
9	332BN1400X	Nursing Facility Supplies (DME)

General Provider Information

NPI Number	:	1386642338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAINBOW PHYSICAL THERAPY & REHAB LLC

Provider Business Mailing Address
First Line	:	2401 AMBER DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48188-1893
Country	:	US
Telephone Number	:	734-552-0846
Fax Number	:	313-846-1321

Provider Business Practice Location Address
First Line	:	6710 SOUTHFIELD FWY
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-3572
Country	:	US
Telephone Number	:	734-552-0846
Fax Number	:	313-846-1321

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SAMINA LATIF
Credential	:
Telephone Number	:	734-552-0846

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	09/11/2025

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Directions to “RAINBOW PHYSICAL THERAPY & REHAB LLC ” Practice Location

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