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NPI 1750826228ActiveOrganization· Physical Therapist· Oak Park, MI

Physical Therapist in Oak Park, Michigan, registered in NPPES in December 2016. The authorized official on file is Matiullah Khan, PT, DPT, President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1750826228
StatusActive
Entity typeOrganization
NPI issuedDec 19, 2016
Last updated in NPPESMar 13, 2020
Certified by providerMar 13, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X5501016577MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MI)

Medicare sources and data years

Other Physical Therapist providers in Oak Park

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