Rehabilitation One Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

REHABILITATION ONE INC

Practice address

22720 Michigan Ave Ste 103
Dearborn, MI 48124-2035

Phone

(313) 792-9330

Fax

(313) 277-7599

NPI assigned

Jul 6, 2006

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haanei Shwehdi

Title

Owner Administrator

Phone

(313) 792-9330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1487686077. Details of each certification follow.

• CCN 236867 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236867

Legal name

REHABILITATION ONE

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Feb 17, 2014

Last certification

May 29, 2019

Ownership / control type

Proprietary

Facility address

22720 Michigan Ave, Suite 103
Dearborn, MI 48124

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tala Khalaf, PT

  • Physical Therapist
  • Farmington Hills, MI
  • NPI 1558405084
  NPD (past)
• Asghar Khan, PT

  • Physical Therapist
  • Detroit, MI
  • NPI 1629294483
  NPD (past)
• Thota Mudali, RPT

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1093902389
  NPD (past)
• Zahir Shah, P. T

  • Physical Therapist
  • Southfield, MI
  • NPI 1730343351
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1487686077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242035",
            "telephone_number": "313-792-9330",
            "fax_number": "313-277-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22720 MICHIGAN AVE STE 103",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242035",
            "telephone_number": "313-792-9330",
            "fax_number": "313-277-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "SHWEHDI",
        "authorized_official_first_name": "HAANEI",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "313-792-9330"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehab One Medical Supply, LLC
• Rehab Service Consultants, LLC
• Rehab Team of Michigan
• Rehabcare Group East, LLC (RehabCare)
• Rehabilitation One Home Health, LLC
• Rafey Rehman, MD
• Hassan Mohamad Reichouni, D.C.
• Glen Antoine Reid Jr.
• Jeanniene Reid
• Reief Physical Therapy &Rehab Inc (Relief Rehab)

• Rehabilitation Clinic/Center in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.