Provider Demographics
NPI:1851588859
Name:WEST MICHIGAN REHAB PLLC
Entity Type:Organization
Organization Name:WEST MICHIGAN REHAB PLLC
Other - Org Name:WEST MICHIGAN REHAB & PAIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIMI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:616-447-4090
Mailing Address - Street 1:PO BOX 838
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-0838
Mailing Address - Country:US
Mailing Address - Phone:616-447-4090
Mailing Address - Fax:616-447-4098
Practice Address - Street 1:4955 E BELTLINE AVE NE
Practice Address - Street 2:SUITE A
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-1097
Practice Address - Country:US
Practice Address - Phone:616-447-4090
Practice Address - Fax:616-447-4098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI114346837Medicaid
MIMI5768Medicare PIN
MI6548490001Medicare NSC