Matiullah Khan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016577 Issued in MI

Practice address

21675 Coolidge Hwy Ste B
Oak Park, MI 48237-3171

Phone

(248) 722-4736

Fax

(248) 677-4932

NPI assigned

Dec 10, 2013

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Remarkable Rehab Services PLC

  dba Remarkable Physical Therapy and Rehab services

  • Physical Therapist
  • Oak Park, MI
  • NPI 1750826228
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1336570746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21675 COOLIDGE HWY STE B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373171",
            "telephone_number": "248-722-4736",
            "fax_number": "248-677-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21675 COOLIDGE HWY STE B",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373171",
            "telephone_number": "248-722-4736",
            "fax_number": "248-677-4932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30600 Northwestern Hwy",
            "address_2": "suite 205",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483343161",
            "country_code": "US",
            "telephone_number": "248-722-4736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MATIULLAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaz Management LLC
• Rola Kazbour, RPHD
• Tonya Michele Kelley
• Sandra S Kelly
• Pamela J Kennedy
• Iaman Khrais, LLMSW
• Kidney Centers of Michigan LLC (Oak Park Dialysis)
• Tina Killiany, LPN
• Kimberly Kim, O.D.
• Kimberly Wallace MD PC

• Physical Therapist in Oak Park, MI
• Providers in Oak Park, 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 13, 2020; 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.