Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1396754271

Unknown Individual is a healthcare provider. based in Detroit, Michigan. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 035982 (MI). The NPI Number for Unknown Individual is 1396754271

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396754271
Phone
(313) 833-1988
Address
4160 JOHN R. ST.
Deactivation Date
5 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Harper Professional Building, 4160, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    SUITE 802

    DETROIT, MI 482012014

    Phone: (313) 833-1988

    Fax: (313) 833-6399

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1396754271.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Physical Medicine & Rehabilitation Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Detroit, Michigan for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1396754271. Always confirm identity and privileges with the practice and licensing boards.