Active NPI
Mohamed Makki
- Physical Therapy Assistant
- Southfield, MI
National Provider Identifier
1295281582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 465558663
- Practice address
- 20905 Greenfield Rd
Suite 300 M
Southfield, MI 48075-5360 - Phone
- (248) 234-8717
- Fax
- (248) 809-6852
- NPI assigned
- Aug 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 465558663 | MI | Primary |
Addresses
Primary practice location
20905 Greenfield Rd
Suite 300 M
Southfield, MI 48075-5360
Mailing address
26329 Simone St
Dearborn Heights, MI 48127
Phone (313) 989-3036
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475193600000",
"number": "1295281582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26329 SIMONE ST",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "48127",
"telephone_number": "313-989-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20905 GREENFIELD RD",
"address_2": "SUITE 300 M",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480755360",
"telephone_number": "248-234-8717",
"fax_number": "248-809-6852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAKKI",
"first_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-28",
"last_updated": "2016-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "465558663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.