Organization Active NPI

Universal Rehab & Pain Management PLLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1750836946
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNIVERSAL REHAB & PAIN MANAGEMENT PLLC
Practice address
901 W Grand Blvd
Suite 105
Detroit, MI 48208-2353
Phone
(313) 477-9545
Fax
(313) 993-9007
NPI assigned
Aug 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Tasadaq Ali Ahmad, PT
Title
President
Phone
(313) 477-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

901 W Grand Blvd
Suite 105
Detroit, MI 48208-2353

Mailing address

901 W Grand Blvd
Suite 105
Detroit, MI 48208-2353
Phone (313) 477-9545

National Provider Directory

National Provider Directory

Locations

15565 Northland Dr W
Ste 308
Southfield, MI 48075
Phone (248) 540-3959

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1750836946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W GRAND BLVD",
            "address_2": "SUITE 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082353",
            "telephone_number": "313-477-9545",
            "fax_number": "313-993-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W GRAND BLVD",
            "address_2": "SUITE 105",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082353",
            "telephone_number": "313-477-9545",
            "fax_number": "313-993-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHAB & PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "TASADAQ",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-477-9545",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.