Individual provider Active NPI

Mohamed Ghamloush, PT, DPT

  • Physical Therapist
  • Dearborn, MI
National Provider Identifier
1063125656
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501302444 Issued in MI
Practice address
14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone
(313) 850-2918
NPI assigned
Dec 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 5501302444 MI Primary

Addresses

Primary practice location

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782

Mailing address

14650 W Warren Ave Ste 300
Dearborn, MI 48126-1782
Phone (313) 850-2918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230213000813 MI Practitioner - Physical Therapist in Private Practice 2769854140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Wayne State University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

5688 N Telegraph Rd
Dearborn Heights, MI 48127-3219
Phone (313) 633-9586

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501302444MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialists of Dearborn LLC Physical Therapist CurrentSince Oct 3, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Dec 20, 2022 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Dec 20, 2022 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

14650 W Warren Ave
Ste 300
Dearborn, MI 48126
Phone (313) 551-3941

5141 Oakman Blvd
Dearborn, MI 48126
Phone (313) 359-8200

5688 N Telegraph Rd
Dearborn Hts, MI 48127
Phone (313) 565-9357

Organizations & group practices 3

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1063125656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-850-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 W WARREN AVE STE 300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261782",
            "telephone_number": "313-850-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAMLOUSH",
        "first_name": "MOHAMED",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501302444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.