Active NPI
Shaza Shamim Qureshi
- Physical Therapist
- Garden City, MI
National Provider Identifier
1568762136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015372
- Practice address
- 5811 Middlebelt Rd
Garden City, MI 48135-2459 - Phone
- (248) 882-2093
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501015372 | MI | Primary |
Addresses
Primary practice location
5811 Middlebelt Rd
Garden City, MI 48135-2459
Mailing address
15755 Lakeside Village Dr
Apt 305
Clinton Township, MI 48038-6093
Phone (724) 989-6026
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015372 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1568762136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15755 LAKESIDE VILLAGE DR",
"address_2": "APT 305",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480386093",
"telephone_number": "724-989-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5811 MIDDLEBELT RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481352459",
"telephone_number": "248-882-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QURESHI",
"first_name": "SHAZA",
"middle_name": "SHAMIM",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.