Organization Active NPI

Pioneer Physical Therapy & Rehab PC

  • Physical Therapist
  • Allen Park, MI
National Provider Identifier
1154495570
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006795 Issued in MI
Legal business name
PIONEER PHYSICAL THERAPY & REHAB PC
Practice address
7312 Park Ave
Allen Park, MI 48101-1903
Phone
(313) 382-3844
Fax
(313) 382-3748
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Bushra Munawar, PTNPI 1144317132
Title
Owner
Phone
(313) 382-3844

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 5501006795 MI Primary

Addresses

Primary practice location

7312 Park Ave
Allen Park, MI 48101-1903

Mailing address

7312 Park Ave
Allen Park, MI 48101-1903
Phone (313) 382-3844

Other identifiers 1

IdentifierTypeStateIssuer
65-0-H2-2527-0OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000507 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5890719769 Receives reassigned benefits from 1 practitioner
Practice locations: Allen Park, MI

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": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1154495570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 PARK AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011903",
            "telephone_number": "313-382-3844",
            "fax_number": "313-382-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7312 PARK AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011903",
            "telephone_number": "313-382-3844",
            "fax_number": "313-382-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICAL THERAPY & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "MUNAWAR",
        "authorized_official_first_name": "BUSHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-382-3844",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65-0-H2-2527-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.