Organization Active NPI

Theracure PC

  • Physical Therapist
  • Dearborn Heights, MI
National Provider Identifier
1093169971
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014520 Issued in MI
Legal business name
THERACURE PC
Practice address
27261 Midway St
Apt/S
Dearborn Heights, MI 48127-2825
Phone
(313) 575-7030
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Mohamed A Mahmoud, RPTNPI 1811125552
Title
Physical Therapist
Phone
(313) 575-7030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501014520 MI Primary

Addresses

Primary practice location

27261 Midway St
Apt/S
Dearborn Heights, MI 48127-2825

Mailing address

27261 Midway St
Apt/S
Dearborn Heights, MI 48127-2825
Phone (313) 575-7030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1093169971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27261 MIDWAY ST",
            "address_2": "APT/S",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272825",
            "telephone_number": "313-575-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27261 MIDWAY ST",
            "address_2": "APT/S",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272825",
            "telephone_number": "313-575-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "MAHMOUD",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "313-575-7030",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.