Jamal Afroz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006578 Issued in MI

Practice address

18591 Clairmont Cir E
Northville, MI 48168-8539

Phone

(734) 925-3815

NPI assigned

Jun 23, 2014

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

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.

• Great Lakes Professional Services LLC

  • Physical Therapy Clinic/Center
  • Dearborn Heights, MI
  • NPI 1982960316

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1184039786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18591 CLAIRMONT CIR E",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688539",
            "telephone_number": "734-925-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18591 CLAIRMONT CIR E",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688539",
            "telephone_number": "734-925-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFROZ",
        "first_name": "JAMAL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Blake Adelson, D.O.
• Todd Andrew Adelson, D.O
• Aen Sports, LLC
• Yasmine Affes
• Samson O Afolabi
• Ebtesam Ahmed
• Sabina Ahmed, MPT
• Stephanie Jean Aiello
• Akhia Medical Staffing Solutions, LLC
• Cem Akin, MD

• Physical Therapist in Northville, MI
• Providers in Northville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.