Individual provider Active NPI

Sarah Shamoon

  • Orthopedic Physical Therapist
  • Livonia, MI
National Provider Identifier
1942517511
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501013715 Issued in MI
Practice address
14555 Levan Rd
Livonia, MI 48154-5083
Phone
(734) 542-9770
NPI assigned
Sep 2, 2010
Last updated
Aug 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501013715 MI Primary

Addresses

Primary practice location

14555 Levan Rd
Livonia, MI 48154-5083

Mailing address

27472 Schoenherr Rd
Warren, MI 48088-6688

Other names 1

  • Sarah Elias Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110322000146 MI Practitioner - Physical Therapist in Private Practice 4688857113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Oakland College of Medicine and Surgery, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to You Rehab PLLCGroup PAC ID 2365789203, 14 clinicians

Practice addresses (Care Compare)

21316 Mack Ave
Grosse Pointe Woods, MI 48236-1047
Phone (248) 733-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013715MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to You Rehab PLLC Orthopedic CurrentSince Oct 19, 2021 Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients

Locations

21316 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (248) 733-4325

2512 Rochester Rd
Royal Oak, MI 48073
Phone (248) 733-4325

22701 Harper Ave
Saint Clair Shores, MI 48080
Phone (248) 733-4325

Organizations & group practices 2

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1942517511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27472 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-542-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMOON",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501013715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ELIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.