Organization Active NPI

Pfa Pain & Rehab Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Lathrup Village, MI
National Provider Identifier
1467397844
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PFA PAIN & REHAB MEDICINE PLLC
Practice address
27270 Evergreen Rd
Lathrup Village, MI 48076-3249
Phone
(734) 812-0429
NPI assigned
Apr 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Payaum Fotovat-Ahmadi, MDNPI 1225715683
Title
Owner / Physician
Phone
(734) 812-0429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

27270 Evergreen Rd
Lathrup Village, MI 48076-3249

Mailing address

27270 Evergreen Rd
Lathrup Village, MI 48076-3249

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1467397844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27270 EVERGREEN RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27270 EVERGREEN RD",
            "city": "LATHRUP VILLAGE",
            "state": "MI",
            "postal_code": "480763249",
            "telephone_number": "734-812-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFA PAIN & REHAB MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "FOTOVAT-AHMADI",
        "authorized_official_first_name": "PAYAUM",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "734-812-0429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrup Village, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.