Organization Active NPI

Maha Physical Therapy PLLC

  • Physical Medicine & Rehabilitation Physician
  • Warren, MI
National Provider Identifier
1962920587
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MAHA PHYSICAL THERAPY PLLC
Practice address
30801 Schoenherr Rd
Warren, MI 48088
Phone
(313) 784-0999
Fax
(313) 784-0999
NPI assigned
Sep 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Omar Almemar
Title
Owner
Phone
(313) 784-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

30801 Schoenherr Rd
Warren, MI 48088

Mailing address

30801 Schoenherr Rd
Warren, MI 48088-6857

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1504483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1962920587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30801 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30801 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48088",
            "telephone_number": "313-784-0999",
            "fax_number": "313-784-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ALMEMAR",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-784-0999"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.