Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Great Lakes Physical Therapy and Rehabilitation LLC

Organization Physical Therapy Clinic/Center · NPI 1124401625

Great Lakes Physical Therapy and Rehabilitation LLC is a Physical Therapy Clinic/Center in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12434 E 12 Mile Rd Ste 101
Warren, MI 48093-3536
Phone: (586) 578-9121
Fax: (586) 578-9124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence E6533E (MI)

Record details

NPI number1124401625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Stapels — President · (586) 321-4563
NPI enumeratedJuly 1, 2015
Last updated in NPPESJuly 1, 2015
Mailing address12434 E 12 Mile Rd Ste 101, Warren, MI 48093-3536

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