Michael Nabil Shenouda, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011174 Issued in MI

Practice address

4415 Metro Pkwy
Ste 100
Sterling Heights, MI 48310-4523

Phone

(586) 377-0001

NPI assigned

Jun 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Mary Rehabilitation Services LLCGroup PAC ID 0749351054, 4 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.

• St. Mary Rehabilitation Services L.L.C

  • Physical Therapy Clinic/Center
  • Clinton TWP, MI
  • NPI 1275724502

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1326274168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 ASTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853871",
            "telephone_number": "248-650-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 METRO PKWY",
            "address_2": "STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104523",
            "telephone_number": "586-377-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENOUDA",
        "first_name": "MICHAEL",
        "middle_name": "NABIL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afrie Bangla Sheik
• Mahsa Sheikhi, B.A. M.A.
• Shelby Medical Supplies, LLC
• Julia Shelton
• Mary Shenouda
• Steven R Shepherd, DO
• Ashley N Shepich
• Dustin Keith Shepler, PHD, LP, HSP, CST
• Julie Nicole Sher, DO
• Dayshia B Sherrod

• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.