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

Vivid Rehab Inc

Organization Physical Therapy Clinic/Center · NPI 1245732361

Vivid Rehab Inc is a Physical Therapy Clinic/Center in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12830 Ford Rd Ste C
Dearborn, MI 48126-3350
Phone: (313) 406-3832
Fax: (313) 406-3716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 5501014578 (MI)

Record details

NPI number1245732361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lawrence Atat — Owner · (313) 707-2686
Other names Vivid Rehab Inc
NPI enumeratedMarch 5, 2018
Last updated in NPPESMarch 5, 2018
Mailing address12830 Ford Rd Ste C, Dearborn, MI 48126-3350

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