Mastercare Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004932 Issued in MI

Legal business name

MASTERCARE REHAB

Practice address

27031 Dequindre Rd
Madison HTS, MI 48071-5720

Phone

(248) 542-7440

Fax

(248) 545-4327

NPI assigned

Mar 15, 2010

Organization subpart

No

Name

Mr. Sultan Mahmood, RPT

Title

Administrator

Phone

(248) 542-7440

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2010.

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1306160767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56187 NICKELBY S",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483165502",
            "telephone_number": "248-542-7440",
            "fax_number": "248-545-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27031 DEQUINDRE RD",
            "city": "MADISON HTS",
            "state": "MI",
            "postal_code": "480715720",
            "telephone_number": "248-542-7440",
            "fax_number": "248-545-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERCARE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "SULTAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-542-7440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ranald Mackenzie, OD
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• Madison Internists P C
• Sultan Mahmood, RPT
• Peter R Miller, MD
• Swarup Misra, DO
• Chhayaben N Patel, PT
• Patient 1St Pharmacy LLC
• Patient Support Services

• All providers in Madison HTS, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.