NPIMap

Organization Active NPI

Pace Physical Therapy, P.C.

  • Physical Therapist
  • Allen Park, MI
National Provider Identifier
1982092268
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PACE PHYSICAL THERAPY, P.C.
Practice address
8338 Allen Rd
Suite 102B
Allen Park, MI 48101-1399
Phone
(313) 438-0963
Fax
(313) 438-0974
NPI assigned
Jan 8, 2015
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Mohammed Rahman, PTNPI 1730578501
Title
Member
Phone
(313) 438-0963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

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

Mailing address

8338 Allen Rd
Suite 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
O20150319002395 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7517284169 Receives reassigned benefits from 7 practitioners
Practice locations: Allen Park, MI

National Provider Directory

National Provider Directory

Locations

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

18600 Van Horn Rd
#B1
Woodhaven, MI 48183
Phone (734) 752-6545

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1982092268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 ALLEN RD",
            "address_2": "SUITE 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",
            "address_2": "SUITE 102B",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011399",
            "telephone_number": "313-438-0963",
            "fax_number": "313-438-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "313-438-0963",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 23, 2023; 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.