Active NPI
Azaharhusen Zakirhusen Khatri
- Physical Therapist
- Farmington Hills, MI
National Provider Identifier
1447828298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014762 | MI | MD | Physical 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.