Active NPI
Muhammad Shoaib, PHYSICAL THERAPIST
- Physical Therapist
- Saint Clair Shores, MI
National Provider Identifier
1083106207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019420
- Practice address
- 29150 Harper Ave
Saint Clair Shores, MI 48081-1218 - Phone
- (586) 779-0911
- NPI assigned
- Jun 4, 2018
- Last updated
- Jan 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501019420 | MI | Primary |
| Physical Therapist | 225100000X | 041653-1 | NY |
Addresses
Primary practice location
29150 Harper Ave
Saint Clair Shores, MI 48081-1218
Mailing address
7597 Acorn Hill CT
West Bloomfield, MI 48323-4016
Phone (313) 918-9113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019420 | MI | MD | Physical Therapist |
| 041653-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aquatic Solutions Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Mobility Plus Rehab Services Inc. | Physical Therapist | Past | Accepting new patients |
| Advance Laser Therapy PLC | Past | Accepting new patients |
Locations
25591 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 331-9490
14501 Telegraph Rd
Redford, MI 48239
Phone (248) 693-4188
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Oak Park, MI
- NPI 1356855258
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Oak Park, MI
- NPI 1891407524
-
- Rehabilitation Clinic/Center
- Troy, MI
- NPI 1255403598
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1083106207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7597 ACORN HILL CT",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483234016",
"telephone_number": "313-918-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29150 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811218",
"telephone_number": "586-779-0911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOAIB",
"first_name": "MUHAMMAD",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-04",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501019420",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041653-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.