ADVANCED NEURO REHAB SERVICES NPI 1710023916

NPI Information

  • NPI: 1710023916
  • Provider Name: ADVANCED NEURO REHAB SERVICES
  • Classification: Physical Therapist - 2251N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 26635 WOODWARD AVENUE
    SUITE 101
    HUNTINGTON WOODS, MI
    ZIP 48070
  • Phone: (248) 548-6400

Map and Directions

Get Directions

NPI Details

ADVANCED NEURO REHAB SERVICES is a neurology physical therapist in Huntington Woods, MI. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. ADVANCED NEURO REHAB SERVICES NPI is 1710023916. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

26635 WOODWARD AVENUE
SUITE 101
HUNTINGTON WOODS, MI
ZIP 48070
Phone: (248) 548-6400
Fax: (248) 548-8885

The provider's authorized official is Lisa Johnson .
The authorized official title is Office Manager and has the following contact phone number (248) 548-6400.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 6/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251N0400XPhysical TherapistNeurologyHP050806-4301050806MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M89910MEDICARE UPIN
2A-58048MEDICARE UPINMICHIGAN
34377860MEDICAIDMICHIGAN
40M89910MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI