Individual provider Active NPI

Nazmul Haque Chowdhury, PTA

  • Physical Therapy Assistant
  • Sterling Heights, MI
National Provider Identifier
1467004531
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502002866 Issued in MI
Practice address
14151 15 Mile Rd
Sterling Heights, MI 48312-5507
Phone
(586) 939-0200
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502002866 MI Primary

Addresses

Primary practice location

14151 15 Mile Rd
Sterling Heights, MI 48312-5507

Mailing address

3238 Esch Dr
Warren, MI 48091-3338
Phone (313) 721-0412

Other practice location 1

33300 Utica Rd
Fraser, MI 48026-2097
Phone (586) 293-3300

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
5502002866MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1467004531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 ESCH DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480913338",
            "telephone_number": "313-721-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14151 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125507",
            "telephone_number": "586-939-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33300 Utica Rd",
            "address_purpose": "LOCATION",
            "city": "Fraser",
            "state": "MI",
            "postal_code": "480262097",
            "country_code": "US",
            "telephone_number": "586-293-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "NAZMUL",
        "middle_name": "HAQUE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.