St Mary Rehabilitation Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ST MARY REHABILITATION SERVICES LLC

Practice address

42621 Garfield Rd Ste 102
Clinton TWP, MI 48038-5031

Phone

(586) 838-2444

NPI assigned

Aug 1, 2007

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Amir Nagy Nawar, P.T.NPI 1528259850

Title

Physical Therapist

Phone

(586) 486-3636

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Tax ID family

St Mary Rehabilitation Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Mary Rehabilitation Services LLC

  • Physical Therapist
  • Detroit, MI
  • NPI 1235407677
  NPD tax ID

Locations

Practitioners 10

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.

• Amir Nagy Nawar, P.T.

  • Physical Therapist
  • Clinton Township, MI
  • NPI 1528259850
  Medicare reassignment Care Compare group NPD Authorized official
• Vidhi Patel

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1609450956
  Medicare reassignment Care Compare group NPD
• Michael Nabil Shenouda, PT

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1326274168
  Medicare reassignment Care Compare group NPD
• Julie Vedua, PT

  • Physical Therapist
  • Saint Clair Shores, MI
  • NPI 1124347521
  Medicare reassignment Care Compare group NPD
• Michael Cavataio

  • Physical Therapist
  • Plymouth, MI
  • NPI 1851003941
  Medicare reassignment NPD
• Siddhika B Kore, PT

  • Physical Therapist
  • Brighton, MI
  • NPI 1962062273
  Medicare reassignment NPD
• Uditi Shah

  • Physical Therapist
  • Madison Heights, MI
  • NPI 1437643558
  Medicare reassignment NPD
• Brian Patrick Wolfe, PT, DPT

  • Physical Therapist
  • Southfield, MI
  • NPI 1669782363
  Medicare reassignment NPD
• Mark Gaied, PT, DPT, M.S.

  • Physical Therapist
  • Clinton Township, MI
  • NPI 1386509446
  NPD
• Saumeen Kanaiyalal Shah

  • Physical Therapist
  • Detroit, MI
  • NPI 1124315940
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1275724502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 ROCHESTER RD # 723",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835426",
            "telephone_number": "833-823-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42621 GARFIELD RD STE 102",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385031",
            "telephone_number": "586-838-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6585 Rochester Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851363",
            "country_code": "US",
            "telephone_number": "833-823-3300",
            "fax_number": "248-212-0442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4415 Metro Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104523",
            "country_code": "US",
            "telephone_number": "586-977-0001",
            "fax_number": "586-977-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST MARY REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "NAWAR",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "NAGY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "586-486-3636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "6496720001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0F37607",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Sortzi
• Quenton D Spates Jr., LLBSW
• Elizabeth Anne Spiewak
• Gwendolyn Denise Spindle
• Heidi Spyridakis, MOT,OTRL
• John F Stallwood, CRNA
• Amanda J J Stamper
• Christy L Stamper, LLMSW
• Haley Stanbury
• Stanley L Engelhardt, MD, PC

• Physical Therapy Clinic/Center in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.