MEDICARE: YPSILANTI REHABILITATION SERVICES, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center
2	225100000X	Physical Therapist	5501004671	MI
3	225100000X	Physical Therapist	5501011753	MI

General Provider Information

NPI Number	:	1568411023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YPSILANTI REHABILITATION SERVICES, INC.

Provider Business Mailing Address
First Line	:	6055 RAWSONVILLE RD
Second Line	:
City	:	VAN BUREN TWP
State	:	MI
Zip	:	48111-2546
Country	:	US
Telephone Number	:	734-485-4544
Fax Number	:	734-485-8125

Provider Business Practice Location Address
First Line	:	6055 RAWSONVILLE RD
Second Line	:
City	:	VAN BUREN TWP
State	:	MI
Zip	:	48111-2546
Country	:	US
Telephone Number	:	734-485-4544
Fax Number	:	734-485-8125

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ABDOULAYE NDAW
Credential	:	PT
Telephone Number	:	734-485-4544

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	01/14/2025

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