Professional Rehab & Pain Management PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005895 Issued in MI

Legal business name

PROFESSIONAL REHAB & PAIN MANAGEMENT PC

Practice address

31150 Hoover Rd
Ste C
Warren, MI 48093-7618

Phone

(586) 268-1930

Fax

(586) 268-1933

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Muhammed Yahya Khan, RPT

Title

President

Phone

(586) 268-1930

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Muhammad Yahya Khan, PT

  • Physical Therapist
  • Warren, MI
  • NPI 1922197938
  NPD (past)

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1366682262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31150 HOOVER RD",
            "address_2": "STE C",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937618",
            "telephone_number": "586-268-1930",
            "fax_number": "586-268-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31150 HOOVER RD",
            "address_2": "STE C",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937618",
            "telephone_number": "586-268-1930",
            "fax_number": "586-268-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHAB & PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_middle_name": "YAHYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-268-1930",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00196720",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650E018130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional PT and Rehab PC
• Progressive Podiatry PLC
• Progressive Rehab Network LTD
• Pros-Tech, Inc.
• Prowess Nurses Staffing Agency
• Psi Radiological Service, Inc

• Physical Therapist in Warren, MI
• Providers in Warren, 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 5, 2009; 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.