Hisham Fittahy, PT, DPT, C/NDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013717 Issued in MI

Practice address

2928 Oakwood Blvd
Melvindale, MI 48122-1244

Phone

(313) 436-4984

NPI assigned

Feb 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melvindale Physical Therapy SpecialistsGroup PAC ID 6002203098, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Melvindale Physical Therapy Specialists

  • Physical Therapist
  • Melvindale, MI
  • NPI 1124786470
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1245730076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 OAKWOOD BLVD",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221244",
            "telephone_number": "134-364-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 OAKWOOD BLVD",
            "city": "MELVINDALE",
            "state": "MI",
            "postal_code": "481221244",
            "telephone_number": "313-436-4984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5138 Middlesex St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481263105",
            "country_code": "US",
            "telephone_number": "313-454-1315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9870 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803334",
            "country_code": "US",
            "telephone_number": "313-295-5020",
            "fax_number": "313-291-0960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITTAHY",
        "first_name": "HISHAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, C/NDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501013717",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "MI",
            "license": "5501013717",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "5501013717",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "MI",
            "license": "5501013717",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501013717",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Davis
• Dimensions of Wellness, Inc., a Nonprofit Corporation
• Katie Drake
• Ali Rashid Elhasan, R.PH
• Farooq Sons LLC
• Aishah Gabbar
• Gog Pharmacy PLLC
• Tina M Gomez
• Great Lakes Medical Transit LLC
• Madison Hassa, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.