Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ebram M Fanous, PT

Individual provider Physical Therapist · NPI 1053502468

Ebram M Fanous, PT is a Physical Therapist in Private Practice in Sterling Heights, Michigan. Qualified in 2008, 18 years ago. Practices with Theramax Rehab Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

36430 Van Dyke Ave
Sterling Heights, MI 48312-2746
Phone: (586) 335-8182
Fax: (248) 757-2330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501011728 (MI)

Record details

NPI number1053502468
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 9, 2007
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Theramax Rehab Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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