Organization Active NPI

Hershman Rehab LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
National Provider Identifier
1376101063
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HERSHMAN REHAB LLC
Practice address
23155 Northwestern Hwy
Southfield, MI 48075-7703
Phone
(248) 281-6516
Fax
(248) 281-6586
NPI assigned
May 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Hassan Mahmoud Dabajeh
Title
Ceo
Phone
(248) 281-6516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

23155 Northwestern Hwy
Southfield, MI 48075-7703

Mailing address

23155 Northwestern Hwy
Southfield, MI 48075-7703
Phone (248) 281-6516

National Provider Directory

National Provider Directory

Locations

23155 Northwestern Hwy
Ste 300A
Southfield, MI 48075
Phone (248) 281-6516

23155 Northwestern Hwy
Southfield, MI 48075
Phone (248) 281-6516

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1376101063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23155 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757703",
            "telephone_number": "248-281-6516",
            "fax_number": "248-281-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23155 NORTHWESTERN HWY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757703",
            "telephone_number": "248-281-6516",
            "fax_number": "248-281-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERSHMAN REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "DABAJEH",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-281-6516"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Nov 22, 2019; 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.