Provider Demographics
NPI:1528446333
Name:ONE STEP REHAB LLC
Entity type:Organization
Organization Name:ONE STEP REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:BISHORA
Authorized Official - Last Name:ALSAHOURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-896-6224
Mailing Address - Street 1:27676 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-3184
Mailing Address - Country:US
Mailing Address - Phone:313-896-6224
Mailing Address - Fax:
Practice Address - Street 1:24736 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1750
Practice Address - Country:US
Practice Address - Phone:347-433-9657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-13
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPENDINGMedicare PIN