Individual provider Active NPI

Mohammed Rahman, P.T.

  • Physical Therapist
  • Woodhaven, MI
National Provider Identifier
1730578501
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
18600 Van Horn Rd
Suite B1
Woodhaven, MI 48183-3828
Phone
(734) 752-6545
Fax
(734) 268-1183
NPI assigned
Jan 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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 Primary

Addresses

Primary practice location

18600 Van Horn Rd
Suite B1
Woodhaven, MI 48183-3828

Mailing address

18600 Van Horn Rd
Suite B1
Woodhaven, MI 48183-3828
Phone (734) 752-6545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150320001189 MI Practitioner - Physical Therapist in Private Practice 7113955337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Physical Therapy PCGroup PAC ID 7517284169, 5 clinicians

Practice addresses (Care Compare)

8338 Allen Rd
Allen Park, MI 48101-1399
Phone (313) 438-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Physical Therapy, P.C. Physical Therapist CurrentSince Feb 1, 2015 Accepting new patients

Locations

8338 Allen Rd
Ste 102B
Allen Park, MI 48101
Phone (313) 438-0963

18600 Van Horn Rd
#B1
Woodhaven, MI 48183
Phone (734) 752-6545

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": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1730578501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18600 VAN HORN RD",
            "address_2": "SUITE B1",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833828",
            "telephone_number": "734-752-6545",
            "fax_number": "734-268-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18600 VAN HORN RD",
            "address_2": "SUITE B1",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833828",
            "telephone_number": "734-752-6545",
            "fax_number": "734-268-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "MOHAMMED",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.