Organization · Type 2 NPI

Ivyrehab Michigan, LLC

Sports Medicine (Physical Medicine & Rehabilitation) Physician · Fenton, MI

NPI number 1104337120 Active

Practice location

400 Rounds Dr
Fenton, MI 48430-1724

Call (810) 750-1996 Map

Fax (810) 750-6361

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081S0010XNone listed

Sports Medicine (Physical Medicine & Rehabilitation) Physician: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology…

30 other providers at this address

About NPI 1104337120

Ivyrehab Michigan, LLC's National Provider Identifier is 1104337120, issued on Oct 17, 2017. The primary taxonomy on file is Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X), and the practice location is in Fenton, MI. The record was last updated on Sep 16, 2025.