| Team Rehabilitation Sg, Llc | |
|
15400 Northline Rd, Southgate, MI 48195-2333 | |
| (734) 285-0100 | |
| (734) 285-0101 |
| Full Name | Team Rehabilitation Sg, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 15400 Northline Rd, Southgate, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265470728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Scott Mb Delcomyn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386661742 PECOS PAC ID: 3971540220 Enrollment ID: I20050411000332 |
| Provider Name | Anthony G Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982871026 PECOS PAC ID: 4284705831 Enrollment ID: I20080625000408 |
| Provider Name | Brandon M Keskitalo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790074094 PECOS PAC ID: 6608041686 Enrollment ID: I20111203000089 |
| Provider Name | Keith D Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083673487 PECOS PAC ID: 2769634666 Enrollment ID: I20121128000279 |
| Provider Name | Erik P De Meulemeester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811321029 PECOS PAC ID: 8921233420 Enrollment ID: I20131107001646 |
| Provider Name | Julie T Khuong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932539954 PECOS PAC ID: 1456580075 Enrollment ID: I20140131000161 |
| 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 | Alyssa Madison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447643655 PECOS PAC ID: 7113246216 Enrollment ID: I20150511002312 |
| Provider Name | Ashley Keyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851742373 PECOS PAC ID: 6800182452 Enrollment ID: I20160907001742 |
| Provider Name | Ashley Loveland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629529441 PECOS PAC ID: 3173802444 Enrollment ID: I20161110000374 |
| Provider Name | Sheylan Kalso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962905083 PECOS PAC ID: 3577826932 Enrollment ID: I20180417002075 |
| 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 | Roberto Merucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689146912 PECOS PAC ID: 1052658549 Enrollment ID: I20190122001902 |
| Provider Name | Jaime Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093215766 PECOS PAC ID: 5496182172 Enrollment ID: I20200218001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Team Rehabilitation Sg, Llc 33900 Harper Ave, Suite 104, Clinton Township, MI 48035-4258 Ph: (586) 416-9100 | Team Rehabilitation Sg, Llc 15400 Northline Rd, Southgate, MI 48195-2333 Ph: (734) 285-0100 |
Step Up Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15750 Northline Rd Ste B, Southgate, MI 48195 Phone: 734-357-0505 Fax: 734-357-0506 | |
Janessa H Hughes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15400 Northline Rd, Southgate, MI 48195 Phone: 734-285-0100 Fax: 734-285-0101 | |
Jaime Rodriguez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15400 Northline Rd, Southgate, MI 48195 Phone: 734-285-0100 Fax: 734-285-0101 | |
Mrs. Ananthi Johnson, DPT, COMPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13245 Northline Rd, Southgate, MI 48195 Phone: 734-246-2130 Fax: 734-246-8371 | |
Mrs. Debra Joann Kaminski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16701 Kennebec St, Southgate, MI 48195 Phone: 734-284-4499 | |
Joecamar Natuel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16125 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-285-1070 Fax: 734-285-1073 | |
Abighail Micah Hernandez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15400 Trenton Rd, Southgate, MI 48195 Phone: 734-284-4620 |