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

Ivyrehab Northern PT, LLC

Organization Behavior Analyst · NPI 1770113680

Ivyrehab Northern PT, LLC is a Behavior Analyst in Howell, Michigan. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

138 W Highland Rd
Howell, MI 48843-2168
Phone: (517) 376-4831
Fax: (517) 376-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8542 W Grand River Ave, Brighton, MI 48116-2326 — (734) 449-4649

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1770113680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Rucker — Ceo · (914) 777-8700
Other names Ivyrehab Northern Pt Llc; Ivyrehab Northern Pt Llc
NPI enumeratedJanuary 20, 2020
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

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