Evolve Rehab PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EVOLVE REHAB PLLC

Practice address

6256 N Telegraph Rd
Dearborn Heights, MI 48127-3223

Phone

(313) 483-6002

NPI assigned

Dec 10, 2025

Last updated

Dec 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Raychouni, DCNPI 1679995401

Title

Member

Phone

(313) 483-6002

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Mohamed Raychouni, D.C.

  • Chiropractor
  • Dearborn, MI
  • NPI 1679995401
  Medicare reassignment NPD Authorized official
• Billal Bandar, DPT

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1881306843
  Medicare reassignment NPD

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1407710999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6256 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6256 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273223",
            "telephone_number": "313-483-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "RAYCHOUNI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-483-6002",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.