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

Mohmed Omar

Individual provider Physical Therapist · NPI 1508514126

Mohmed Omar is a Physical Therapist in Private Practice in Royal Oak, Michigan. Qualified in 2021, 5 years ago. Practices with Silver Pine Medical Group PLC, a 43-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2022
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Practice location Address checks out

4949 Coolidge Hwy
Royal Oak, MI 48073-1026
Phone: (248) 655-9600
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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 5501301772 (MI)

Record details

NPI number1508514126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2022
Last updated in NPPESMarch 14, 2022
Certification dateMarch 14, 2022
Mailing address21420 Waverly Dr, Macomb, MI 48044-1864

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Silver Pine Medical Group Plc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Royal Oak