Organization Active NPI

Oakland Physical Medicine and Rehab

  • Physical Medicine & Rehabilitation Physician
  • Rochester, MI
National Provider Identifier
1205001716
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
OAKLAND PHYSICAL MEDICINE AND REHAB
Practice address
1050 W University Dr Ste 3
Rochester, MI 48307-1877
Phone
(248) 651-4954
Fax
(248) 650-1994
NPI assigned
Apr 25, 2008
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Dr. Ghada Hanna, MDNPI 1902996341
Title
Owner
Phone
(248) 651-4954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

1050 W University Dr Ste 3
Rochester, MI 48307-1877

Mailing address

1050 W University Dr Ste 3
Rochester, MI 48307-1877
Phone (248) 651-4954

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930034954 MI DME Supplier - Physician - General PracticeDME Supplier - Sports Medicine 5496813651 Practice locations: Rochester, MI

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1205001716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W UNIVERSITY DR STE 3",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071877",
            "telephone_number": "248-651-4954",
            "fax_number": "248-650-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W UNIVERSITY DR STE 3",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071877",
            "telephone_number": "248-651-4954",
            "fax_number": "248-650-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHYSICAL MEDICINE AND REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-651-4954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.