Individual provider Active NPI

Ibrahim Muhyee, LMT

  • Massage Therapist
  • Dearborn Heights, MI
National Provider Identifier
1770038051
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501007337 Issued in MI
Practice address
25147 W Warren St Ste 2
Dearborn Heights, MI 48127-2198
Phone
(313) 277-5508
Fax
(313) 277-5535
NPI assigned
Aug 17, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501007337 MI Primary

Addresses

Primary practice location

25147 W Warren St Ste 2
Dearborn Heights, MI 48127-2198

Mailing address

9575 Lakeside Dr
Ypsilanti, MI 48197-3032
Phone (734) 644-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501007337MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio-Dynamics, LLC Past Accepting new patients
Michigan Therapeutic Solutions, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1770038051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9575 LAKESIDE DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973032",
            "telephone_number": "734-644-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 W WARREN ST STE 2",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272198",
            "telephone_number": "313-277-5508",
            "fax_number": "313-277-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHYEE",
        "first_name": "IBRAHIM",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.