Spine Sports & Occupational Medicine P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPINE SPORTS & OCCUPATIONAL MEDICINE P.C.

Practice address

15636 Southfield Rd
Allen Park, MI 48101-2513

Phone

(313) 928-0700

Fax

(313) 928-0701

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Fatmeh Niskar

Title

Owner

Phone

(313) 928-0700

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pierre Rojas, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • South Lyon, MI
  • NPI 1780945105
  Medicare reassignment Care Compare group NPD
• Miss Wednesday Hall, D.O.

  • Pain Medicine Physician
  • Farmington Hills, MI
  • NPI 1154582112
  Medicare reassignment Care Compare group
• Jeffrey F Parker, M.D.

  • Internal Medicine Physician
  • Eureka, CA
  • NPI 1689650889

  MI

  Medicare reassignment Care Compare group
• Nilesh M Patel, MD

  • Orthopaedic Surgery of the Spine Physician
  • Dearborn, MI
  • NPI 1952374282

  Single Specialty

  Medicare reassignment NPD
• Mohamed Ali Saad, MD

  • Orthopaedic Surgery Physician
  • Dearborn, MI
  • NPI 1346534021
  Medicare reassignment NPD
• Peter M Samet, MD

  • Physical Medicine & Rehabilitation Physician
  • Ferndale, MI
  • NPI 1447293246
  Medicare reassignment

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1962571125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15636 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012513",
            "telephone_number": "313-928-0700",
            "fax_number": "313-928-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15636 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012513",
            "telephone_number": "313-928-0700",
            "fax_number": "313-928-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPORTS & OCCUPATIONAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "NISKAR",
        "authorized_official_first_name": "FATMEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-928-0700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H217480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Son-X P.C.
• Southern Care Services, Inc
• Aubray Spears
• Markeisha Carletta Speights
• Andrea Marie Spence, NP
• Frank Stankiewicz, DDS
• Jennifer Suzanne Starchenko, PT
• Stay at Home Care
• Stay at Home Care LLC
• Strive Health Co PLLC

• Physical Medicine & Rehabilitation Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.