Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVYREHAB MICHIGAN, LLC
Active OrganizationIVYREHAB MICHIGAN, LLC is a Sports Medicine (PM&R) organization located in FENTON, Michigan. NPI 1104337120 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · FENTON, MI
Registration Details
- NPI Number
- 1104337120
- Provider Type
- Organization
- NPI Issued
- Oct 17, 2017 (8.8652319739756 yrs)
- Last Updated
- Sep 16, 2025
Practice Information
- Address
-
400 ROUNDS DRFENTON, MI, 484301724Browse MI providers · Browse ZIP 48430
- Phone
- 8107501996
- Fax
- 8107506361
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.