Individual provider Active NPI

Joseph Labib, DPT

  • Physical Therapist
  • Madison Heights, MI
National Provider Identifier
1740582410
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501011866 Issued in MI
Practice address
28051 Dequindre Rd
Suite a.
Madison Heights, MI 48071-3016
Phone
(248) 629-4011
Fax
(248) 629-4010
NPI assigned
Dec 1, 2010
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501011866 MI Primary

Addresses

Primary practice location

28051 Dequindre Rd
Suite a.
Madison Heights, MI 48071-3016

Mailing address

28051 Dequindre Rd Ste a
Madison Heights, MI 48071-3016
Phone (248) 629-4011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000140 MI Practitioner - Physical Therapist in Private Practice 0345291787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Max Rehabilitation Physical Therapy LLCGroup PAC ID 2769803378, 2 clinicians

Practice addresses (Care Compare)

41069 Dequindre Rd
Suite 102
Troy, MI 48085-6730
Phone (215) 900-3818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501011866MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Life Home Health Services, Inc. CurrentSince Oct 3, 2015 Accepting new patients
Long Life Home Health Services LLC Current Accepting new patients
Max Rehabilitation Physical Therapy LLC Single Specialty CurrentSince Jan 2, 2023 Accepting new patients
St. Mary Home Health Services LLC Current Accepting new patients

Locations

5445 Oakman Blvd
Dearborn, MI 48126
Phone (313) 406-4586

28051 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 629-4011

28051 Dequindre Rd
Ste A
Madison Heights, MI 48071
Phone (248) 629-4011

28051 Dequindre Rd
Ste D
Madison Heights, MI 48071
Phone (248) 733-5442

41069 Dequindre Rd
Ste 102
Troy, MI 48085
Phone (215) 900-3818

Organizations & group practices 5

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1740582410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD STE A",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016",
            "telephone_number": "248-629-4011",
            "fax_number": "248-629-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28051 DEQUINDRE RD",
            "address_2": "SUITE A.",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713016",
            "telephone_number": "248-629-4011",
            "fax_number": "248-629-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABIB",
        "first_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.