Nisar Ahmed Mohammed, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015977 Issued in MI

Practice address

30551 Stephenson Hwy
Suite B
Madison Heights, MI 48071-1645

Phone

(248) 677-0216

Fax

(248) 677-0228

NPI assigned

Jul 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1861757957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30551 STEPHENSON HWY",
            "address_2": "SUITE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711645",
            "telephone_number": "248-677-0216",
            "fax_number": "248-677-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30551 STEPHENSON HWY",
            "address_2": "SUITE B",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480711645",
            "telephone_number": "248-677-0216",
            "fax_number": "248-677-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "NISAR",
        "middle_name": "AHMED",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Moonflower Counseling

• Physical Therapist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.