Provider Demographics
NPI:1164257028
Name:ACCESS INTEGRATED REHABILITATION
Entity type:Organization
Organization Name:ACCESS INTEGRATED REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:BAYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-565-7955
Mailing Address - Street 1:39755 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-2799
Mailing Address - Country:US
Mailing Address - Phone:248-565-7955
Mailing Address - Fax:
Practice Address - Street 1:26400 LAHSER RD STE 107
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2672
Practice Address - Country:US
Practice Address - Phone:248-565-7955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitationGroup - Single Specialty