SPECIAL TREE NEURO SKILLS CENTER
NPI 1295773281
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Romulus, MI

NPI Status: Active since June 03, 2006

Contact Information

10909 HANNAN RD
ROMULUS, MI
ZIP 48174
Phone: (734) 893-1000
Fax: (734) 893-1332

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...
  • CLIA Number: 23D0930963
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 07-15-2026

About SPECIAL TREE NEURO SKILLS CENTER

This page provides the complete NPI Profile along with additional information for Special Tree Neuro Skills Center, a provider established in Romulus, Michigan operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1295773281 assigned on June 2006. The practitioner's primary taxonomy code is 261QR0401X with license number 824330 (MI). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Special Tree Neuro Skills Center. The authorized official of this NPI record is Lakisha Ford (Medical Biller)

NPI
1295773281
Provider Legal Name
SPECIAL TREE REHABILITATION SERVICES LTD
Other Organization Name
SPECIAL TREE NEURO SKILLS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10909 HANNAN RD ROMULUS, MI 48174
Location Phone
(734) 893-1000
Location Fax
(734) 893-1332
Mailing Address
16018 S HURON RIVER DR ROMULUS, MI 48174
Mailing Phone
(248) 951-4042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2006
Last Update Date
02-04-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities
License No.
824330
License State
MI

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAKISHA FORD

Authorized Official Title
MEDICAL BILLER
Authorized Official Phone
(248) 951-4042

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D0930963
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
July 16, 2024
Certificate Expiration Date
July 15, 2026
Laboratory Director
TAMMY M. MURDOCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Special Tree Neuro Skills Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295773281
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851476216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 7 + 6 + 2 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1295773281 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790123230 NICOLE ANN MOSKALL COTA/L
Individual
Occupational Therapy Assistant10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1033
1144668609MRS. CYNTHIA KAY BRUCE OTRL
Individual
Occupational Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1033
1225476765 LINDSAY RITTERSDORF PT, DPT, CBIS
Individual
Physical Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1033
1083052526 JACQUELINE ANNE CUNNINGHAM PT
Individual
Physical Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1033
1700224243MRS. NICOLE JANE LEBARON PTA
Individual
Physical Therapy Assistant10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1033
1184062606DR. JENNIFER MICHELLE RATERMANN DPT
Individual
Physical Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1033
1639517048 KELLEY ANN ELSE OTRL
Individual
Occupational Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1033
1497193684MR. THOMAS C KACKMEISTER PTA
Individual
Physical Therapy Assistant10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1000
1982042099MRS. MEGEN LEIGH ALLEN P.T.
Individual
Physical Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1094
1134567258 LAUREN MICHELE GARRISI M.A.C.C.C.S.L.P.
Individual
Speech-Language Pathologist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1020
1336587476MR. STEVEN DEARMOND CURTIN MA LLP
Individual
Psychologist (Clinical)10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1000
1336588755MS. DAWN MARIE MASSAD LMSW
Individual
Social Worker (Clinical)10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1030
1114367737MRS. SUSAN MCLAREN PA-C
Individual
Physician Assistant10909 HANNAN RD
ROMULUS, MI 48174
(734) 941-1142
1114330263 URSULA KOTZABASSI OTRL
Individual
Occupational Therapist (Neurorehabilitation)10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1031
1851790414 DENISE FARRIS
Individual
Technician (Personal Care Attendant)10909 HANNAN RD
ROMULUS, MI 48174
(734) 839-1000
1770897613 AMY GROESBECK
Individual
Psychologist (Clinical)10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1000
1558655001 COURTNEY LYNN FANKHAUSER CTRS
Individual
Recreation Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1080
1922655869 EMILIE HERPICK CTRS, CBIS
Individual
Recreation Therapist10909 HANNAN RD
ROMULUS, MI 48174
(800) 648-6885
1740837681 KRISTIN OVERWEG CLAERHOUT CTRS, CBIS
Individual
Recreation Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1080
1538410923 EMMALIE ANNE PRINGLE DPT
Individual
Physical Therapist10909 HANNAN RD
ROMULUS, MI 48174
(734) 893-1014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295773281, enumerated in the NPI registry as an "organization" on June 03, 2006

The provider is located at 10909 Hannan Rd Romulus, Mi 48174 and the phone number is (734) 893-1000

This medical organization specializes in Clinic/Center with taxonomy code 261QR0401X with a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

The provider's CLIA number is 23D0930963 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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