Individual provider Active NPI

Nahed Farg

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1649738568
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019029 Issued in MI
Practice address
1016 Academy Dr
Rochester Hills, MI 48307-4607
Phone
(248) 980-2634
NPI assigned
Mar 10, 2019
Last updated
Mar 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019029 MI Primary

Addresses

Primary practice location

1016 Academy Dr
Rochester Hills, MI 48307-4607

Mailing address

1016 Academy Dr
Rochester Hills, MI 48307-4607
Phone (248) 980-2634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190725000139 MI Practitioner - Physical Therapist in Private Practice 3779819024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JMK Physical Therapy PLLCGroup PAC ID 4284078890, 2 clinicians

Practice addresses (Care Compare)

2120 15 Mile Rd
Sterling Heights, MI 48310-4806
Phone (609) 903-8593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019029MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JMK Physical Therapy PLLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Marina Rehabilitation and Health Services, Inc. Physical Therapist CurrentSince Jul 25, 2019 Accepting new patients
Ark Physical Therapists LLC Physical Therapist PastSince Mar 20, 2024 Accepting new patients

Locations

1050 W University Dr
Ste 3
Rochester, MI 48307
Phone (248) 650-1984

2120 15 Mile Rd
Sterling Heights, MI 48310
Phone (609) 903-8593

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552176000000",
    "number": "1649738568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 ACADEMY DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074607",
            "telephone_number": "248-980-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 ACADEMY DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074607",
            "telephone_number": "248-980-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARG",
        "first_name": "NAHED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2019-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.