Naseem Ahmed Khan, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005484 Issued in MI

Practice address

29930 W 12 Mile Rd
Ste 3
Farmington Hills, MI 48334-3983

Phone

(248) 214-1234

Fax

(248) 358-1535

NPI assigned

May 7, 2007

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Supreme Rehab Inc

  • Home Health Agency
  • Farmington Hills, MI
  • NPI 1477627115

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Lucia Zamorano MD PLC

  • Neurological Surgery Physician
  • Troy, MI
  • NPI 1407811243
  Medicare reassignment NPD
• Supreme Rehab Inc

  • Home Health Agency
  • Farmington Hills, MI
  • NPI 1477627115
  NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1417169798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29930 W 12 MILE RD",
            "address_2": "STE 3",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343983",
            "telephone_number": "248-214-1234",
            "fax_number": "734-591-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29930 W 12 MILE RD",
            "address_2": "STE 3",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343983",
            "telephone_number": "248-214-1234",
            "fax_number": "248-358-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASEEM",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iman Khan
• Jasmine Khan
• Khadija Khan
• Luiza Khan, D.P.M
• Mohammad Khan
• Nazia Khan
• Saad Khan
• Sabah Khan
• Shanila Huma Khan
• Sobia Khan

• Physical Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.