Active NPI
Fabiha Nishat, OTR/L
- Occupational Therapist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201011373
- Practice address
- 24901 Northwestern Hwy Ste 113
Southfield, MI 48075-2200 - Phone
- (844) 369-9955
- Fax
- (947) 282-8576
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201011373 | MI | Primary |
Addresses
Primary practice location
24901 Northwestern Hwy Ste 113
Southfield, MI 48075-2200
Mailing address
11370 Sobieski St
Hamtramck, MI 48212-3154
Phone (313) 658-6870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28175 Haggerty Rd
Novi, MI 48377-2903
Phone (718) 650-6230
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201011373 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Home Therapy Services of Michigan LLC | Occupational Therapist | Current | Accepting new patients |
Locations
28175 Haggerty Rd
Novi, MI 48377
Phone (248) 994-7759
28175 Haggerty Rd
Ofc
Novi, MI 48377
180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943
Organizations & group practices 1
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.
-
- Physical Therapist
- Dearborn, MI
- NPI 1710556717
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1982379699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11370 SOBIESKI ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123154",
"telephone_number": "313-658-6870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24901 NORTHWESTERN HWY STE 113",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480752200",
"telephone_number": "844-369-9955",
"fax_number": "947-282-8576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHAT",
"first_name": "FABIHA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201011373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.