Freena J Wani, R.P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5501017326 Issued in MI

Practice address

30801 Schoenherr Rd
Warren, MI 48088

Phone

(586) 393-5214

NPI assigned

Sep 28, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maha Physical Therapy PLLC

  • Physical Medicine & Rehabilitation Physician
  • Warren, MI
  • NPI 1962920587
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1710496195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30801 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30801 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "586-393-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANI",
        "first_name": "FREENA",
        "middle_name": "J",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5501017326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Patrick Walsh, MD
• Karen Lee Walters, P.T.
• Chongkai Wang, MD
• Ping Wang, MD
• Shuju Wang
• Joyce Berus Ward, D.C.
• Demerius Latell Ware, DC
• Kelly Faye Warner, M.S.W.
• Warren Allergy & Asthma Care PC
• Warren Auto Injury Center, LLC

• Physical Medicine & Rehabilitation Physician in Warren, MI
• Providers in Warren, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.