Active NPI
Asghar Khan, PT
- Physical Therapist
- Detroit, MI
National Provider Identifier
1629294483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006662
- Practice address
- 17555 James Couzens Fwy
Detroit, MI 48235-2657 - Phone
- (313) 341-8895
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 5501006662 | MI | Primary |
Addresses
Primary practice location
17555 James Couzens Fwy
Detroit, MI 48235-2657
Mailing address
30041 Astor St
Farmington Hills, MI 48336-3517
Phone (313) 282-6424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P26405F (BCN) | Other | MI | PHYSICAL THERAPIST |
| 0H257530 (BCBS) | Other | MI | PHYSICAL THERAPIST |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation One Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629294483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30041 ASTOR ST",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483363517",
"telephone_number": "313-282-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17555 JAMES COUZENS FWY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352657",
"telephone_number": "313-341-8895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ASGHAR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "P26405F (BCN)",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "0H257530 (BCBS)",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.