Active NPI
Sublime Physical Therapy & Rehab Services,Inc.
- Physical Therapist
- Dearborn, MI
National Provider Identifier
1194887273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006285
- Legal business name
- SUBLIME PHYSICAL THERAPY & REHAB SERVICES,INC.
- Practice address
- 4937 Schaefer Rd
Dearborn, MI 48126-3251 - Phone
- (313) 945-9366
- Fax
- (313) 945-0070
- NPI assigned
- Dec 14, 2006
- Last updated
- Feb 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Irfan Haider Jilani, D.P.T.
- Title
- President
- Phone
- (313) 945-9366
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006285 | MI | Primary |
Addresses
Primary practice location
4937 Schaefer Rd
Dearborn, MI 48126-3251
Mailing address
4937 Schaefer Rd
Dearborn, MI 48126-3251
Phone (313) 945-9366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH257790 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Sublime Physical Therapy and Rehab
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Dearborn, MI
- NPI 1700154481
-
- Physical Therapist
- Southfield, MI
- NPI 1134439490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Dearborn, MI
- NPI 1831230572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297900800000",
"number": "1194887273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4937 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263251",
"telephone_number": "313-945-9366",
"fax_number": "313-945-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4937 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263251",
"telephone_number": "313-945-9366",
"fax_number": "313-945-0070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUBLIME PHYSICAL THERAPY & REHAB SERVICES,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2011-02-17",
"status": "A",
"authorized_official_last_name": "JILANI",
"authorized_official_first_name": "SYED",
"authorized_official_middle_name": "IRFAN HAIDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-945-9366",
"authorized_official_credential": "D.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006285",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "OH257790",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.