Active NPI
Hassan Mahmoud Dabajeh, DPT
- Physical Therapist
- Redford, MI
National Provider Identifier
1770929739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016180
- Practice address
- 25958 W 6 Mile Rd
Redford, MI 48240-2213 - Phone
- (313) 286-3360
- NPI assigned
- May 17, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 5501016180 | MI | Primary |
Addresses
Primary practice location
25958 W 6 Mile Rd
Redford, MI 48240-2213
Mailing address
25958 W 6 Mile Rd
Redford, MI 48240-2213
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016180 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1770929739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25958 W 6 MILE RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482402213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25958 W 6 MILE RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482402213",
"telephone_number": "313-286-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABAJEH",
"first_name": "HASSAN",
"middle_name": "MAHMOUD",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-17",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.