Individual provider Active NPI

Sarwar Din Qureshi, RPT PHD

  • Physical Therapist
  • Oak Park, MI
National Provider Identifier
1215069604
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501001418 Issued in MI
Practice address
13855 W 9 Mile Rd
Suite a
Oak Park, MI 48237-2775
Phone
(248) 703-6088
Fax
(248) 548-6580
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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 5501001418 MI Primary

Addresses

Primary practice location

13855 W 9 Mile Rd
Suite a
Oak Park, MI 48237-2775

Mailing address

13855 W 9 Mile Rd
Suite a
Oak Park, MI 48237-2775
Phone (248) 703-6088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5501001418MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Park Rehabilitation Clinic Inc Past Accepting new patients

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1215069604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13855 W 9 MILE RD",
            "address_2": "SUITE A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372775",
            "telephone_number": "248-703-6088",
            "fax_number": "248-548-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13855 W 9 MILE RD",
            "address_2": "SUITE A",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372775",
            "telephone_number": "248-703-6088",
            "fax_number": "248-548-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SARWAR",
        "middle_name": "DIN",
        "credential": "RPT PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501001418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.