Knox Simba Machamire

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501303345 Issued in MI

Practice address

2052 Whittaker Rd
Ypsilanti, MI 48197-8238

Phone

(734) 619-6080

NPI assigned

Jul 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1164269536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 GEORGE AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031620",
            "telephone_number": "269-605-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481978238",
            "telephone_number": "734-619-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHAMIRE",
        "first_name": "KNOX",
        "middle_name": "SIMBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501303345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmachamire1050742@direct.hfhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6777 W Maple Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marilyn Maa
• Sukhminder Singh Maan, MD
• Lynn Rebekah Maas, CCC-SLP
• Kelly Megan Macarthur, D.D.S.
• Philip Stafford Romine Macbride, PA-C
• Rachel Therese Mack, NP
• Stacey Michelle Mack, MSW
• Stephanie M Mackenzie, DO
• Taylor Ann Mackenzie, BSW
• Terri Lou Mackenzie, LMSW

• Orthopedic Physical Therapist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.