Active NPI
Prime Rehab and Physical Therapy Inc
- Physical Disabilities Residential Treatment Facility
- Detroit, MI
National Provider Identifier
1457356453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- Legal business name
- PRIME REHAB AND PHYSICAL THERAPY INC
- Practice address
- 2900 S Fort St
Ste 3
Detroit, MI 48217-1061 - Phone
- (313) 388-0156
- Fax
- (313) 388-0593
- NPI assigned
- Jun 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Muhammad Sadiq
- Title
- Administrator
- Phone
- (313) 357-3079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | Primary |
Addresses
Primary practice location
2900 S Fort St
Ste 3
Detroit, MI 48217-1061
Mailing address
7140 W Fort St
Ste 4
Detroit, MI 48209-2917
Phone (313) 357-3079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4676467 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
7140 W Fort St
#4
Detroit, MI 48209
Phone (313) 357-3079
7140 W Fort St
Ste 4
Detroit, MI 48209
Phone (313) 388-0510
2900 S Fort St
Ste 3
Detroit, MI 48217
Phone (313) 388-0156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331078400000",
"number": "1457356453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 W FORT ST",
"address_2": "STE 4",
"city": "DETROIT",
"state": "MI",
"postal_code": "482092917",
"telephone_number": "313-357-3079",
"fax_number": "313-388-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S FORT ST",
"address_2": "STE 3",
"city": "DETROIT",
"state": "MI",
"postal_code": "482171061",
"telephone_number": "313-388-0156",
"fax_number": "313-388-0593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME REHAB AND PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-16",
"last_updated": "2012-03-07",
"status": "A",
"authorized_official_last_name": "SADIQ",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "313-357-3079",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4676467",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Prime Comfort Care LLC
- Prime Drugs Pharmacy LLC
- Prime Medical Center PLLC
- Prime Medical Family Practice PLLC
- Prime Medical Urgent Care PLLC
- Prime Wellness
- Primecare Medical Centers of Michigan, P.L.L.C.
- Primecare Physician Partner
- Primedical Healthcare Associates PLLC
- Primedical Healthcare Group PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.