| Michigan Orthopedic Rehabilitation Llc | |
|
4401 W 13 Mile Rd, Royal Oak, MI 48073-6516 | |
| (248) 566-3525 | |
| (248) 566-3527 |
| Full Name | Michigan Orthopedic Rehabilitation Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 4401 W 13 Mile Rd, Royal Oak, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801149695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Lisa L Deconinck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275681793 PECOS PAC ID: 7416112313 Enrollment ID: I20120627000182 |
| Provider Name | Timothy L Wiater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841514437 PECOS PAC ID: 4688822067 Enrollment ID: I20120910000103 |
| Provider Name | Anne M Chmielewski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922012871 PECOS PAC ID: 2769637909 Enrollment ID: I20130219000435 |
| Provider Name | Austin J Kneip |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740659671 PECOS PAC ID: 8224332820 Enrollment ID: I20160621002027 |
| Provider Name | Christine M Buchanan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497951362 PECOS PAC ID: 0446536882 Enrollment ID: I20170419000626 |
| Provider Name | Joshua Daniel Wenzlaff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225427776 PECOS PAC ID: 8820320245 Enrollment ID: I20191104001918 |
| Provider Name | Nicole Elizabeth Rondini Korbecki |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497932875 PECOS PAC ID: 2365774627 Enrollment ID: I20191106000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Orthopedic Rehabilitation Llc 4401 W 13 Mile Rd, Royal Oak, MI 48073-6516 Ph: (248) 566-3525 | Michigan Orthopedic Rehabilitation Llc 4401 W 13 Mile Rd, Royal Oak, MI 48073-6516 Ph: (248) 566-3525 |