MARIAM NASSAR
NPI 1467968933
Physical Therapy Assistant in Southfield, MI

Active since December 20, 2017
25775 W 10 MILE RD STE C, SOUTHFIELD, MI 48033(248) 809-9941 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mariam Nassar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAM NASSAR (NPI 1467968933) is an individual physical therapy assistant in Southfield, Michigan, licensed in Michigan (5502005496) and active in the NPI registry since December 2017. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1467968933
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameMARIAM NASSAR
Location Address25775 W 10 MILE RD STE CSouthfield, MI 48033-4856
Mailing Address25775 W 10 Mile Rd Ste CSouthfield, MI 48033-4856 · (248) 809-9941
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 20, 2017
✔ NPI 1467968933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License✔ Licensed in MI · 5502005496
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
25775 W 10 MILE RD STE C, Southfield, MI 48033

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariam Nassar is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052882966
PECOS Enrollment IDI20260602000931

Medicare Billing Reassignment

Medicare enrollment records show Mariam Nassar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2723 S STATE ST STE 150
Ann Arbor, MI 48104
  • Reassigned Medicare billing, Michigan enrollment
  • 119 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
25775 W 10 MILE RD STE C
SOUTHFIELD, MI 48033
Massage Therapist
25775 W 10 MILE RD STE C
SOUTHFIELD, MI 48033
Physical Therapist
25775 W 10 MILE RD STE C
SOUTHFIELD, MI 48033
Physical Therapy Assistant
25775 W 10 MILE RD STE C
SOUTHFIELD, MI 48033
Pharmacy (Community/Retail Pharmacy)
25775 W 10 MILE RD STE C
SOUTHFIELD, MI 48033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariam Nassar's NPI number?

The NPI number for Mariam Nassar is 1467968933. It was assigned to this individual provider in the NPPES registry on December 20, 2017.

Where is Mariam Nassar located?

Mariam Nassar practices at 25775 W 10 Mile Rd Ste C, Southfield, MI 48033. The listed phone number is (248) 809-9941.

What is Mariam Nassar's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

Is Mariam Nassar enrolled in Medicare?

Yes. Mariam Nassar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mariam Nassar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariam Nassar reassigns Medicare benefits to Michigan Luna Care Physical Therapy, LLC (Ann Arbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariam Nassar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariam Nassar accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mariam Nassar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariam Nassar was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.