Nergis Jassim

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5302020392 Issued in MI

Practice address

14625 Telegraph Rd Ste C
Taylor, MI 48180-4637

Phone

(734) 287-8009

NPI assigned

Dec 4, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: njassim486275@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Rehab Care, Inc.

  • Physical Therapy Clinic/Center
  • Taylor, MI
  • NPI 1144392465

  MI

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1003386996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 TELEGRAPH RD STE C",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804637",
            "telephone_number": "734-287-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14625 TELEGRAPH RD STE C",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804637",
            "telephone_number": "734-287-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5111 Auto Club Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262684",
            "country_code": "US",
            "telephone_number": "313-317-2000 x2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASSIM",
        "first_name": "NERGIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5302020392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njassim486275@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "5111 Auto Club Dr Ste 112",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481262684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njassim486275@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "5111 Auto Club Dr Ste 112",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481262684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Helen Louise Jackson, PSYD, LLP
• Rickey T. Jackson, PSY. S.
• Umakanth Reddy Jagu
• Lani Jakovac, OTRL
• Linda Jakubus
• Meredith Jeffrey, O.D.
• Morla Jenkins, LPN
• Shumitha Jeyaraj
• Jince John, P.T.
• Rachel Marie Johns

• All providers in Taylor, MI
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.