Fimple LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FIMPLE LLC

Practice address

16131 Wick Rd
Allen Park, MI 48101

Phone

(313) 485-5426

NPI assigned

Jun 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jawad Nazar Tajaldeen, DPTNPI 1659140051

Title

Ceo

Phone

(313) 485-5426

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jawad Nazar Tajaldeen

  • Physical Therapist
  • Dearborn, MI
  • NPI 1659140051
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1770324402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 KORTE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264105",
            "telephone_number": "313-485-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16131 WICK RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "48101",
            "telephone_number": "313-485-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIMPLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "TAJALDEEN",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_middle_name": "NAZAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-485-5426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dentistry, PC
• Family Doc Ap PLLC
• Lena Farhat, PHARMACIST
• Ashley Ann Farmer, MA,CCC-SLP
• Marjorie Lynn Field, DVM
• Firsthand Health of Michigan, P.C.
• Olivia A Fitch, DC
• Connie Marie Fleischer, LPN
• Jillian Kate Flood, PA-C
• Moriah Foster

• Physical Therapy Clinic/Center in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.