# SPECIALISTS IN REHABILITATION MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336114537
- **Authorized official:** DR. BRIAN MICHAEL ROTH M.D. (PRESIDENT)
- **Authorized official phone:** (248) 650-5861

## Contact information

- **Practice address:** 1135 W UNIVERSITY DR STE 175, ROCHESTER, MI 48307-1893
- **Practice address phone:** (248) 650-5861
- **Practice address fax:** (248) 650-5865
- **Mailing address:** 1135 W UNIVERSITY DR STE 175, ROCHESTER, MI 48307-1893
- **Mailing address phone:** (248) 650-5861
- **Mailing address fax:** (248) 650-5865

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301052881 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301055982 | MI | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301062365 | MI | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301066288 | MI | — |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 09/23/2026