Active NPI
Adib Sobh
- Physical Therapist
- Dearborn, MI
National Provider Identifier
1750760682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 550-1006-578
- Practice address
- 14711 Ford Rd
Dearborn, MI 48126-3040 - Phone
- (313) 438-0438
- Fax
- (313) 438-0439
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 550-1006-578 | MI | Primary |
Addresses
Primary practice location
14711 Ford Rd
Dearborn, MI 48126-3040
Mailing address
14711 Ford Rd
Dearborn, MI 48126-3040
Phone (313) 438-0438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 550-1006-578 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1750760682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14711 FORD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263040",
"telephone_number": "313-438-0438",
"fax_number": "313-438-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14711 FORD RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263040",
"telephone_number": "313-438-0438",
"fax_number": "313-438-0439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBH",
"first_name": "ADIB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "550-1006-578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.