Individual provider Active NPI

Mohammad Farah Hussein, PT.

  • Physical Therapist
  • Dearborn, MI
National Provider Identifier
1194912394
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013469 Issued in MI
Practice address
10645 W Warren Ave
Suite#300
Dearborn, MI 48126-1540
Phone
(313) 846-0555
Fax
(313) 846-0565
NPI assigned
Oct 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501013469 MI Primary

Addresses

Primary practice location

10645 W Warren Ave
Suite#300
Dearborn, MI 48126-1540

Mailing address

10645 W Warren Ave
Suite#300
Dearborn, MI 48126-1540
Phone (313) 846-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000116 MI Practitioner - Physical Therapist in Private Practice 1254413677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top Rehab Services, P.C.Group PAC ID 2264514686, 2 clinicians

Practice addresses (Care Compare)

15001 Michigan Ave
Suite 200
Dearborn, MI 48126-6600
Phone (313) 451-8267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013469MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Top Rehab Services, P.C. Physical Therapist CurrentSince Sep 26, 2007 Accepting new patients

Locations

15001 Michigan Ave
Ste 200
Dearborn, MI 48126
Phone (313) 451-8267

10645 W Warren Ave
Ste 300
Dearborn, MI 48126
Phone (313) 455-3790

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1194912394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 W WARREN AVE",
            "address_2": "SUITE#300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261540",
            "telephone_number": "313-846-0555",
            "fax_number": "313-846-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10645 W WARREN AVE",
            "address_2": "SUITE#300",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481261540",
            "telephone_number": "313-846-0555",
            "fax_number": "313-846-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "MOHAMMAD",
        "middle_name": "FARAH",
        "credential": "PT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013469",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 20, 2008; 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.