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

Individual provider Physical Therapist · NPI 1528261781

Mr. Omid Entezami, PT is a Physical Therapist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

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

21751 W 11 Mile Rd Ste 109
Southfield, MI 48076-3712
Phone: (248) 356-2100
Fax: (248) 356-2121
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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 5501007593 (MI)

Record details

NPI number1528261781
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 8, 2007

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