Individual provider Active NPI

Khadim Hussain, PT

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1821342171
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007279 Issued in MI
Practice address
15565 Northland Dr E
Suite 915E
Southfield, MI 48075-5302
Phone
(248) 424-8902
NPI assigned
Nov 7, 2012
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501007279 MI Primary

Addresses

Primary practice location

15565 Northland Dr E
Suite 915E
Southfield, MI 48075-5302

Mailing address

15565 Northland Dr E
Suite 915E
Southfield, MI 48075-5302

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

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Home Health Services Inc Current Accepting new patients
DM Care LLC Physical Therapist CurrentSince Jun 4, 2020 Accepting new patients
Express Health PC PastSince Feb 22, 2013 Accepting new patients
Oakland Home Health Care Inc PastSince Jun 14, 2011 Accepting new patients
US Healthcare Mi, PC Past Accepting new patients

Locations

3120 Carpenter St
Ste 107
Hamtramck, MI 48212
Phone (313) 788-8131

Organizations & group practices 5

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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1821342171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E",
            "address_2": "SUITE 915E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR E",
            "address_2": "SUITE 915E",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755302",
            "telephone_number": "248-424-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "KHADIM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.