Provider Demographics
NPI:1942514872
Name:REHAB R US LLC
Entity Type:Organization
Organization Name:REHAB R US LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:586-977-0001
Mailing Address - Street 1:1580 CRIMSON DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-5505
Mailing Address - Country:US
Mailing Address - Phone:586-977-0001
Mailing Address - Fax:586-977-0002
Practice Address - Street 1:4415 METRO PKWY STE 100
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-4523
Practice Address - Country:US
Practice Address - Phone:586-977-0001
Practice Address - Fax:586-977-0002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501009827225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E03110OtherBCBSM