Individual provider Active NPI

Zubair Khan Wazir, P.T.

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1710114871
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008312 Issued in MI
Practice address
21500 Northwestern Hwy
Suite 825
Southfield, MI 48075-5018
Phone
(248) 483-7980
Fax
(248) 483-7983
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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 5501008312 MI Primary

Addresses

Primary practice location

21500 Northwestern Hwy
Suite 825
Southfield, MI 48075-5018

Mailing address

21500 Northwestern Hwy
Suite 825
Southfield, MI 48075-5018
Phone (248) 483-7980

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

State licenses

LicenseStateTypeSpecialty
5501008312MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilities Pathways, 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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245110400000",
    "number": "1710114871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21500 NORTHWESTERN HWY",
            "address_2": "SUITE 825",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755018",
            "telephone_number": "248-483-7980",
            "fax_number": "248-483-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 NORTHWESTERN HWY",
            "address_2": "SUITE 825",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755018",
            "telephone_number": "248-483-7980",
            "fax_number": "248-483-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZIR",
        "first_name": "ZUBAIR",
        "middle_name": "KHAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.