Provider Demographics
NPI:1972503134
Name:NORTH WOODWARD REHABILITATION SERVICES INC.
Entity Type:Organization
Organization Name:NORTH WOODWARD REHABILITATION SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-338-7600
Mailing Address - Street 1:43902 WOODWARD AVE
Mailing Address - Street 2:#120
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5011
Mailing Address - Country:US
Mailing Address - Phone:248-338-7600
Mailing Address - Fax:248-338-8323
Practice Address - Street 1:43902 WOODWARD AVE
Practice Address - Street 2:#120
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5011
Practice Address - Country:US
Practice Address - Phone:248-338-7600
Practice Address - Fax:248-338-8323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI30650OtherBLUE CROSS BLUE SHIELD
MI236705Medicare ID - Type Unspecified