| Team Rehabilitation So, Llc | |
|
27652 Franklin Rd, Southfield, MI 48034-8200 | |
| (248) 359-8700 | |
| (248) 359-8703 |
| Full Name | Team Rehabilitation So, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 27652 Franklin Rd, Southfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689930943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Andrew Ashley Logue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659407583 PECOS PAC ID: 3072528595 Enrollment ID: I20060220000356 |
| Provider Name | Scott D Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376764894 PECOS PAC ID: 4981747722 Enrollment ID: I20100202000861 |
| Provider Name | Nicole R Monette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982904736 PECOS PAC ID: 6709069271 Enrollment ID: I20110321000588 |
| Provider Name | Chandra T Charlton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609106871 PECOS PAC ID: 4688830599 Enrollment ID: I20120723000085 |
| 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 | Julie Berris |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427449727 PECOS PAC ID: 3072839166 Enrollment ID: I20150309001118 |
| Provider Name | Sarah Cubr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619408630 PECOS PAC ID: 6406132117 Enrollment ID: I20170412001289 |
| Provider Name | Bryan Krall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275041188 PECOS PAC ID: 2365702370 Enrollment ID: I20180213002400 |
| Provider Name | Lindsey Barnhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790284024 PECOS PAC ID: 7315207149 Enrollment ID: I20180215002502 |
| 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 | Vanita Upendra Koepke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679073191 PECOS PAC ID: 6002165545 Enrollment ID: I20180816002856 |
| Provider Name | Kelsey Andringa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639654486 PECOS PAC ID: 8527311885 Enrollment ID: I20181102001572 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation So, Llc 33900 Harper Ave, Suite 104, Clinton Township, MI 48035-4258 Ph: (586) 350-2644 | Team Rehabilitation So, Llc 27652 Franklin Rd, Southfield, MI 48034-8200 Ph: (248) 359-8700 |
Ashtiaq Khokhar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-304-1100 | |
Thomas Chung, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26025 Lahser Rd, Southfield, MI 48033 Phone: 248-663-1910 Fax: 248-849-0190 | |
Briana Keller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120 | |
Paige Robinson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 23800 W 10 Mile Rd Ste 193, Southfield, MI 48033 Phone: 248-827-1100 Fax: 248-827-1120 | |
Toms K Mathew, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28309 Franklin Rd, Southfield, MI 48034 Phone: 248-208-6100 Fax: 248-208-6119 | |
Jaspal Kaur, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24681 Northwestern Hwy, Sut 103, Southfield, MI 48075 Phone: 248-809-9360 | |
Lahser Medical Campus Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27207 Lahser Rd Ste 106, Southfield, MI 48034 Phone: 248-948-9448 |