Mahmoud Bjeijeh, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202007934 Issued in MI

Practice address

25899 W 12 Mile Rd Ste 120
Southfield, MI 48034-8341

Phone

(248) 688-1869

NPI assigned

Aug 15, 2017

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1386160927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348341",
            "telephone_number": "248-688-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD STE 120",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480348341",
            "telephone_number": "248-688-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJEIJEH",
        "first_name": "MAHMOUD",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Bishop Jr., M.D.
• Julie Bishop
• Sidney Bishop
• Louis Bitoff Jr., DPM
• Cameron James Bixby, DO
• Black & White Look Optical Corp
• Black and White Look Optical Corporation
• Black Male Therapist LLC
• Sabrina Diana Black, LLPC
• Brittany Denise Blackburn, REGISTERED NURSE

• Occupational Therapy Assistant in Southfield, MI
• Providers in Southfield, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.