Renee Talaat Ishak Labib, RPT, CLT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5501014337 Issued in MI

Practice address

5445 Oakman Blvd
Dearborn, MI 48126

Phone

(313) 584-4625

Fax

(313) 584-5676

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eriny Youssof Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Max Rehabilitation Physical Therapy LLCGroup PAC ID 2769803378, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Max Rehabilitation Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Madison Heights, MI
  • NPI 1295364289
  Medicare reassignment Care Compare group NPD
• Mini Invasive Podiatry PLC

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
  • NPI 1962968719
  Medicare reassignment NPD
• Mini Invasive Podiatry PLC

  • Dialysis Equipment & Supplies (DME)
  • Troy, MI
  • NPI 1700407954
  NPD
• Golden Triangle Rehab Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Madison Heights, MI
  • NPI 1316993835
  NPD (past)

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164728937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE ROAD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "48071",
            "telephone_number": "313-584-4625",
            "fax_number": "313-584-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 OAKMAN BLVD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48126",
            "telephone_number": "313-584-4625",
            "fax_number": "313-584-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABIB",
        "first_name": "RENEE",
        "middle_name": "TALAAT ISHAK",
        "credential": "RPT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501014337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERINY",
            "last_name": "YOUSSOF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• L a Pharmacy Inc.
• Charmain Rose Zapotoczny La Fountain, MSW
• La Luna Transportation, Inc.
• La Vita LLC (Hamzeh Pharmacy)
• Theresa Labarge, FNP-C
• Heidi M Labo, D.C.
• Elizabeth Anne Labodie, FNP
• Laboratory Specialists of Michigan, LLC
• Benjamin D Lack, M.D.
• Nathan Gray Lafayette, M.D.

• Physical Medicine & Rehabilitation Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.