Individual provider Active NPI

Hamed P Kafifar, PT

  • Geriatric Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1508406497
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
5501005345 Issued in MI
Practice address
1715 Northfield Dr
Rochester Hills, MI 48309-3819
Phone
(248) 293-2400
Fax
(248) 293-2440
NPI assigned
Jan 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 5501005345 MI Primary

Addresses

Primary practice location

1715 Northfield Dr
Rochester Hills, MI 48309-3819

Mailing address

5576 White Hall Cir
West Bloomfield, MI 48323-3465
Phone (248) 613-9751

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL h.kafifar@gahc94.com Health Information Exchange (HIE)
Other URL h.kafifar@gahc94.com
CONNECT URL h.kafifar@gahc94.com Health Information Exchange (HIE)
Other URL h.kafifar@gahc94.com

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
5501005345MIMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1508406497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 WHITE HALL CIR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233465",
            "telephone_number": "248-613-9751",
            "fax_number": "248-865-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 NORTHFIELD DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093819",
            "telephone_number": "248-293-2400",
            "fax_number": "248-293-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAFIFAR",
        "first_name": "HAMED",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501005345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "h.kafifar@gahc94.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1715 Northfield Dr",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483093819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "h.kafifar@gahc94.com",
            "affiliation": "N",
            "address_1": "1715 Northfield Dr",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483093819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "h.kafifar@gahc94.com",
            "affiliation": "N",
            "endpointDescription": "h.kafifar@gahc94.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1715 Northfield Dr",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483093819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "h.kafifar@gahc94.com",
            "affiliation": "N",
            "address_1": "1715 Northfield Dr",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483093819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.