NPIMap

Organization Active NPI

Sublime Physical Therapy & Rehab Services, Inc.

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1134439490
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006285 Issued in MI
Legal business name
SUBLIME PHYSICAL THERAPY & REHAB SERVICES, INC.
Practice address
17600 W 8 Mile Rd
Suite 7
Southfield, MI 48075-4305
Phone
(248) 424-9749
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Syed Irfan Haider Jilani, D.P.T.NPI 1831230572
Title
President
Phone
(313) 945-9366

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 MULTIPLE SINGLE SPECIALTY GROUP 225100000X 5501006285 MI Primary

Addresses

Primary practice location

17600 W 8 Mile Rd
Suite 7
Southfield, MI 48075-4305

Mailing address

4937 Schaefer Rd
Dearborn, MI 48126-3251
Phone (313) 945-9366

Other identifiers 1

IdentifierTypeStateIssuer
OH257790OtherMIBCBS

National Provider Directory

National Provider Directory
Tax ID family
Sublime Physical Therapy and Rehab3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1134439490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4937 SCHAEFER RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481263251",
            "telephone_number": "313-945-9366",
            "fax_number": "313-945-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 W 8 MILE RD",
            "address_2": "SUITE 7",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754305",
            "telephone_number": "248-424-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME PHYSICAL THERAPY & REHAB SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "JILANI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "IRFAN HAIDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-945-9366",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OH257790",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.