Jan Ahmed Shaik, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014447 Issued in MI

Practice address

5382 Midchester CT Apt 108
West Bloomfield, MI 48324-1162

Phone

(248) 909-5302

NPI assigned

Nov 5, 2010

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobilize Physical TherapyGroup PAC ID 3274061908, 2 clinicians

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.

• Mobilize Physical Therapy

  • Physical Therapist
  • Berkley, MI
  • NPI 1477369445
  Medicare reassignment Care Compare group NPD Authorized official
• Link Home Therapy Services of Michigan LLC

  • Physical Therapist
  • Dearborn, MI
  • NPI 1710556717
  Medicare reassignment NPD
• Mi Rehab Specialists LLC

  • Physical Therapist
  • West Bloomfield, MI
  • NPI 1780372938
  Medicare reassignment
• Individualized Physical Therapy & Rehab P.C.

  • Rehabilitation Clinic/Center
  • Canton, MI
  • NPI 1932208535
  NPD (past)
• Metro Physical Therapy and Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1912906744
  NPD (past)

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1396046439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5382 MIDCHESTER CT APT 108",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241162",
            "telephone_number": "248-909-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5382 MIDCHESTER CT APT 108",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483241162",
            "telephone_number": "248-909-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIK",
        "first_name": "JAN",
        "middle_name": "AHMED",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-05",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaineem Shah
• Jaykumar Shah, AGACNP - BC
• Keerti Satish Shah, PHYSICAL THERAPIST
• Kevin Shah, PHARM.D
• Veekalp Shah, PHARMACIST
• Neha K Shaik
• Kathryn Ann Shallow, LLPC
• Shalom Industries
• Aviana Shammami
• Morgan Theresa Shammami

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.