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

Mariam Nassar

Individual provider Physical Therapy Assistant · NPI 1467968933

Mariam Nassar is a Physical Therapist in Private Practice in Southfield, Michigan. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2017
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Practice location Address checks out

25775 W 10 Mile Rd Ste C
Southfield, MI 48033-4856
Phone: (248) 809-9941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502005496 (MI)

Record details

NPI number1467968933
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 20, 2017
Last updated in NPPESDecember 20, 2017
Mailing address25775 W 10 Mile Rd Ste C, Southfield, MI 48033-4856

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Southfield