| Team Rehabilitation P1, Llc | |
|
30100 Telegraph Rd Ste 140, Bingham Farms, MI 48025-4516 | |
| (248) 385-0030 | |
| Not Available |
| Full Name | Team Rehabilitation P1, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 30100 Telegraph Rd Ste 140, Bingham Farms, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174938989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Maureen E Mattiello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932421245 PECOS PAC ID: 7618100793 Enrollment ID: I20140424001555 |
| Provider Name | Kelsey R Boltwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841603420 PECOS PAC ID: 4385861616 Enrollment ID: I20140811001974 |
| Provider Name | Kimlee Ung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699267468 PECOS PAC ID: 5193070548 Enrollment ID: I20180626002207 |
| Provider Name | Kelly Cocke |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023497187 PECOS PAC ID: 0648513218 Enrollment ID: I20190522001921 |
| Provider Name | Rachel Van Dyke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083275341 PECOS PAC ID: 7113252115 Enrollment ID: I20190712002294 |
| Provider Name | Morgan Sroka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831748227 PECOS PAC ID: 3678803509 Enrollment ID: I20190919001091 |
| Provider Name | Wendy Zajac |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982849741 PECOS PAC ID: 0840610713 Enrollment ID: I20201014001708 |
| Provider Name | Chelsea Marie Klaska |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184115982 PECOS PAC ID: 2163831173 Enrollment ID: I20210504000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation P1, Llc 33900 Harper Ave Ste 104, Clinton Township, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation P1, Llc 30100 Telegraph Rd Ste 140, Bingham Farms, MI 48025-4516 Ph: (248) 385-0030 |
Dr. Kenneth Peter Soave, P.T.,D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24255 W 13 Mile Rd, Suite 100, Bingham Farms, MI 48025 Phone: 248-988-8085 Fax: 248-988-8565 | |
Jodie Sue Adams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30100 Telegraph Rd Ste 140, Ste 140, Bingham Farms, MI 48025 Phone: 248-385-0030 Fax: 248-849-9980 | |
Herold Abraham Paulraj, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30400 Telegraph Rd Ste 334, Bingham Farms, MI 48025 Phone: 517-539-1426 | |
Ms. Lisa Christine Alarcon, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30800 Telegraph Rd, Suite 1728, Bingham Farms, MI 48025 Phone: 800-852-1232 Fax: 248-967-8741 | |
Lance Thaddeus Wozniak, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24255 W 13 Mile Rd Ste 100, Bingham Farms, MI 48025 Phone: 248-988-8085 Fax: 248-988-8565 | |
Jules George, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30400 Telegraph Rd Ste 334, Bingham Farms, MI 48025 Phone: 734-925-0020 | |
Mr. Bijoy Manuel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30400 Telegraph Rd Ste 334, Bingham Farms, MI 48025 Phone: 800-379-1600 Fax: 734-762-9600 |