NPIMap

Organization Active NPI

Melvindale Physical Therapy Specialists

  • Physical Therapist
  • Melvindale, MI
National Provider Identifier
1124786470
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MELVINDALE PHYSICAL THERAPY SPECIALISTS
Practice address
2928 Oakwood Blvd
Melvindale, MI 48122-1244
Phone
(313) 436-4984
Fax
(313) 436-4975
NPI assigned
Dec 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Dalia Mhaid, DPTNPI 1730689415
Title
DPT., Owner
Phone
(313) 436-4984

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 Primary

Addresses

Primary practice location

2928 Oakwood Blvd
Melvindale, MI 48122-1244

Mailing address

2928 Oakwood Blvd
Melvindale, MI 48122-1244
Phone (313) 436-4984

Other names 1

  • MELVINDALE PHYSICAL THERAPY SPECIALISTS, L.L.C Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421000364 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002203098 Receives reassigned benefits from 2 practitioners
Practice locations: Melvindale, MI

National Provider Directory

National Provider Directory

Locations

2928 Oakwood Blvd
Melvindale, MI 48122
Phone (313) 436-4975

Practitioners & affiliated clinicians

Practitioners 2

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": "1638489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1124786470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 OAKWOOD BLVD",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221244",
            "telephone_number": "313-436-4984",
            "fax_number": "313-436-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 OAKWOOD BLVD",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221244",
            "telephone_number": "313-436-4984",
            "fax_number": "313-436-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVINDALE PHYSICAL THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-03",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "MHAID",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "DPT., OWNER",
        "authorized_official_telephone_number": "313-436-4984",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MELVINDALE PHYSICAL THERAPY SPECIALISTS, L.L.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melvindale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.

Verify at the official NPI Registry.