OrganizationActive
Health Source Rehab, LLC
NPI 1134556103 · Physical Therapy Clinic/Center · Warren, MI
Provider details
- NPI number
- 1134556103
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Augusto Dayco, Director(586) 757-2440
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 E 11 Mile Rd
Warren, MI 48091-1192
Phone: (586) 757-2440
Fax: (586) 757-2441
Street-level locationGet directions
Mailing address
4100 E 11 Mile Rd
Warren, MI 48091-1192
Registry dates
- Enumerated
- 2013-10-04
- Last updated
- 2013-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.