Individual provider Active NPI

Shaheen Shariff

  • Occupational Therapist
  • Allen Park, MI
National Provider Identifier
1871005793
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
8338 Allen Rd Ste 102B
Allen Park, MI 48101-1399
Phone
(313) 438-0963
Fax
(313) 438-0974
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

8338 Allen Rd Ste 102B
Allen Park, MI 48101-1399

Mailing address

8338 Allen Rd Ste 102B
Allen Park, MI 48101-1399
Phone (313) 438-0963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205002066 MI Practitioner - Occupational Therapist in Private Practice 7012945231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Physical Therapy PCGroup PAC ID 7517284169, 5 clinicians

Practice addresses (Care Compare)

19697 Allen Rd
Brownstown TWP, MI 48183-1119
Phone (734) 234-1967

8338 Allen Rd
102B
Allen Park, MI 48101-1399
Phone (313) 438-0963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Apr 11, 2023 Accepting new patients
Pace Home Health Care, Inc. Current Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Apr 11, 2023 Accepting new patients
Pace Physical Therapy, P.C. Occupational Therapist CurrentSince Oct 25, 2017 Accepting new patients

Locations

8338 Allen Rd
Ste 102B
Allen Park, MI 48101
Phone (313) 438-0963

2929 Nazareth Rd
Kalamazoo, MI 49048
Phone (269) 213-8352

Organizations & group practices 4

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": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1871005793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 ALLEN RD STE 102B",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011399",
            "telephone_number": "313-438-0963",
            "fax_number": "313-438-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 ALLEN RD STE 102B",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011399",
            "telephone_number": "313-438-0963",
            "fax_number": "313-438-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIFF",
        "first_name": "SHAHEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.