Mahboob Ullah

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303255 Issued in MI

Practice address

851 Penniman Ave
Plymouth, MI 48170-1621

Phone

(248) 349-9595

Fax

(989) 509-5965

NPI assigned

May 15, 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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Tmi East, Inc.

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment NPD

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1184473803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 PENNIMAN AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701621",
            "telephone_number": "248-349-9595",
            "fax_number": "989-509-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 PENNIMAN AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701621",
            "telephone_number": "248-349-9595",
            "fax_number": "989-509-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLAH",
        "first_name": "MAHBOOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Tyler
• Diane Lynne Tyndell, RPH
• Deanna Tyre
• Jennifer Tyrrell, LMSW
• Alyssia Tyson
• Ceilan Ulloa
• Antoinette Ulmer, LMSW
• Ultra-X Imaging LLC
• Unmasking the Fear Counseling Services
• Brittney Urbach

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.