Organization Active NPI

Optimum Health

  • Physical Therapy Clinic/Center
  • Dearborn, MI
National Provider Identifier
1073339594
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OPTIMUM HEALTH
Practice address
5245 Schaefer Rd Ste B
Dearborn, MI 48126-3257
Phone
(313) 624-9090
Fax
(313) 624-9191
NPI assigned
Nov 30, 2024
Last updated
Nov 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Authorized official

Name
Huda Alsheeblawy
Title
Administrator
Phone
(313) 624-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5245 Schaefer Rd Ste B
Dearborn, MI 48126-3257

Mailing address

5245 Schaefer Rd Ste B
Dearborn, MI 48126-3257
Phone (313) 624-9090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732924800000",
    "number": "1073339594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 SCHAEFER RD STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263257",
            "telephone_number": "313-624-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 SCHAEFER RD STE B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263257",
            "telephone_number": "313-624-9090",
            "fax_number": "313-624-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "ALSHEEBLAWY",
        "authorized_official_first_name": "HUDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-624-9090"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.