Individual provider Active NPI

Emad Elmarakby, DPT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1053478685
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007293 Issued in MI
Practice address
2565 S Rochester Rd
Suite 108 a
Rochester Hills, MI 48307-4472
Phone
(248) 844-2644
Fax
(248) 844-2645
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501007293 MI Primary

Addresses

Primary practice location

2565 S Rochester Rd
Suite 108 a
Rochester Hills, MI 48307-4472

Mailing address

6316 Brookings Dr
Troy, MI 48098-1862
Phone (248) 879-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070516000024 MI Practitioner - Physical Therapist in Private Practice 7315044906 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501007293MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal in Home Health Care LLC Current Accepting new patients
Universal Physical Therapy,PC Physical Therapist CurrentSince Feb 21, 2007 Accepting new patients

Locations

2565 S Rochester Rd
Ste 108A
Rochester Hills, MI 48307
Phone (248) 844-2644

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Universal in Home Health Care LLCRochester Hills, MI, CCN 239258 Home health agency 5% Or Greater Direct Ownership Interest (99%)
W-2 Managing Employee
Jan 1, 2011
Jan 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1053478685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 BROOKINGS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981862",
            "telephone_number": "248-879-7510",
            "fax_number": "248-879-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 S ROCHESTER RD",
            "address_2": "SUITE 108 A",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074472",
            "telephone_number": "248-844-2644",
            "fax_number": "248-844-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMARAKBY",
        "first_name": "EMAD",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.