| Mahtab Koochaki, PT, DPT | |
|
261 Mack Ave, Detroit, MI 48201-2417 | |
| (313) 745-1100 | |
| (313) 745-0476 |
| Full Name | Mahtab Koochaki |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 261 Mack Ave, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720545262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5501019028 (Michigan) | Primary |
| Provider Name | Baylor College Of Medicine |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427454164 PECOS PAC ID: 2365359932 Enrollment ID: O20150529002032 |
| Provider Name | Texas Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Mahtab Koochaki, PT, DPT 29131 Creek Bend Dr, Farmington Hills, MI 48331-2607 Ph: () - | Mahtab Koochaki, PT, DPT 261 Mack Ave, Detroit, MI 48201-2417 Ph: (313) 745-1100 |
Hannah Mckee-boyes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 Fax: 313-745-1174 | |
Janine Marie Heath, PT, ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-966-8309 | |
Mr. Olugesin Akande, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20122 W Mcnichols Rd, Detroit, MI 48219 Phone: 313-538-0140 Fax: 313-538-0147 | |
Patricia M Evans, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2151 E Jefferson Ave, Detroit, MI 48207 Phone: 615-778-4066 Fax: 615-778-9114 | |
Mrs. Maria Anna Syjud, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-3744 | |
Shamnath A Rahim, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1920 Junction St, Detroit, MI 48209 Phone: 313-297-3233 | |
Laurie Ann Norris, PT,DPT,MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 261 Mack Ave, Detroit, MI 48201 Phone: 313-745-1100 |