Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROFESSIONAL PT AND REHAB PC
Active
Organization
PROFESSIONAL PT AND REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SMITA AHLUWALIA RPT (PRESIDENT)
(248) 582-9907
Entity
Organization
Contact information
Practice address
31150 HOOVER RD, STE C, WARREN, MI 48093-7618
(586) 268-1929
(586) 268-1933
Mailing address
31150 HOOVER RD, STE C, WARREN, MI 48093-7618
(586) 268-1929
(586) 268-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104696147
—
MI
01
—
125076
GREAT LAKES HEALTH PLAN
MI
01
—
650019090
RAILROAD MEDICARE
MI
01
—
650F339030
BCBSM
MI
01
—
P106004
BLUECARE NETWORK
MI
Enumeration date
05/14/2007
Last updated
09/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up