Ruba Mahfouz-Alkotob

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003788 Issued in MI

Practice address

5084 Villa Linde Pkwy
Suite 7a
Flint, MI 48532-3422

Phone

(810) 720-3891

Fax

(810) 720-3916

NPI assigned

Jun 28, 2012

Sex

Female

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

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.

• Holistic Health Center LLC

  • Chiropractor
  • Flint, MI
  • NPI 1518269273
  NPD (past)

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1447514013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5084 VILLA LINDE PKWY",
            "address_2": "SUITE 7A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323422",
            "telephone_number": "810-720-3891",
            "fax_number": "810-720-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5084 VILLA LINDE PKWY",
            "address_2": "SUITE 7A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323422",
            "telephone_number": "810-720-3891",
            "fax_number": "810-720-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHFOUZ-ALKOTOB",
        "first_name": "RUBA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Ann Maginity, RD
• Ghassan Magzoub, MD
• Bryant Mahan
• Nikky Maharjan, MD
• Marium Mahdi, DDS
• Abdullahi Elsheikh Mahgoub, MD
• Samantha Mahler, ACSM CPT
• Eugene Mahon
• Michael Neal Mahon
• Odessa Mahone

• Occupational Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.