Provider Demographics
NPI:1033855440
Name:PARAMOUNT REHABILITATION SERVICES, PC
Entity Type:Organization
Organization Name:PARAMOUNT REHABILITATION SERVICES, PC
Other - Org Name:PARAMOUNT REHABILITATION SERVICES, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARAMOUNT REHABILITATION SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:MALEWAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-891-9800
Mailing Address - Street 1:202 PINE ST
Mailing Address - Street 2:
Mailing Address - City:CHESANING
Mailing Address - State:MI
Mailing Address - Zip Code:48616-1252
Mailing Address - Country:US
Mailing Address - Phone:989-323-2090
Mailing Address - Fax:989-323-3991
Practice Address - Street 1:202 PINE ST
Practice Address - Street 2:
Practice Address - City:CHESANING
Practice Address - State:MI
Practice Address - Zip Code:48616-1252
Practice Address - Country:US
Practice Address - Phone:989-323-2090
Practice Address - Fax:989-323-3991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARAMOUNT REHABILITATION SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-09
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI404679870Medicaid
MI30738OtherBLUE CROSS AND BLUE SHIELD OF MICHIGAN
MI30738OtherBLUE CARE NETWORK
MI236819OtherMEDICARE PIN