Provider Demographics
NPI:1730283920
Name:U.S. REHABILITATION SERVICES INC
Entity type:Organization
Organization Name:U.S. REHABILITATION SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-622-3639
Mailing Address - Street 1:5511 W US HIGHWAY 10
Mailing Address - Street 2:SUITE B
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-2455
Mailing Address - Country:US
Mailing Address - Phone:231-845-0900
Mailing Address - Fax:231-845-0909
Practice Address - Street 1:5511 W US HIGHWAY 10
Practice Address - Street 2:SUITE B
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-2455
Practice Address - Country:US
Practice Address - Phone:231-845-0900
Practice Address - Fax:231-845-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OP25250OtherWPS MEDICARE PART - B