Tahira Raza Perveen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004771 Issued in MI

Practice address

13400 Fort St
Southgate, MI 48195-1138

Phone

(734) 285-7011

Fax

(734) 285-7011

NPI assigned

Jun 2, 2008

Sex

Female

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spine and Joint Pain Managment Center,P.C.

  • Clinic/Center
  • Flint, MI
  • NPI 1376907956
  NPD (past)

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1972762201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951138",
            "telephone_number": "734-285-7011",
            "fax_number": "734-285-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951138",
            "telephone_number": "734-285-7011",
            "fax_number": "734-285-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVEEN",
        "first_name": "TAHIRA",
        "middle_name": "RAZA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Perkowski
• Joel A. Perlson, D.O.
• Jerry Perrett Jr.
• Mary Joy Perry
• Annamalai Perumal, RPH
• Howard Peschke, DPM
• Shaena Peters, LMSW
• Bethany Petersen
• Daniel Jay Petersen, LMSW
• Ciara Peterson

• Physical Therapist in Southgate, MI
• Providers in Southgate, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.