Individual provider Active NPI

Azaharhusen Zakirhusen Khatri

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1447828298
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014762 Issued in MI
Practice address
28592 Orchard Lake Rd Ste 340
Farmington Hills, MI 48334-2962
Phone
(734) 261-0558
Fax
(735) 855-4442
NPI assigned
Jun 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501014762 MI Primary

Addresses

Primary practice location

28592 Orchard Lake Rd Ste 340
Farmington Hills, MI 48334-2962

Mailing address

28592 Orchard Lake Rd Ste 340
Farmington Hills, MI 48334-2962
Phone (734) 261-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501014762MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1447828298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 340",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342962",
            "telephone_number": "734-261-0558",
            "fax_number": "735-855-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28592 ORCHARD LAKE RD STE 340",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342962",
            "telephone_number": "734-261-0558",
            "fax_number": "735-855-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "AZAHARHUSEN",
        "middle_name": "ZAKIRHUSEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.