Subhasis Mohanty

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006170 Issued in MI

Practice address

5245 W Pierson Rd
Suite-2
Flushing, MI 48433-2411

Phone

(810) 732-2252

Fax

(810) 732-4303

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Achieve Home Health Care,LLC

  • Home Health Agency
  • Flushing, MI
  • NPI 1760663637

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Millennium PT & Rehab Services, PC

  • Physical Therapist
  • Flushing, MI
  • NPI 1972727212
  Medicare reassignment NPD Authorized official
• Achieve Home Health Care,LLC

  • Home Health Agency
  • Flushing, MI
  • NPI 1760663637
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1053535385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 W PIERSON RD",
            "address_2": "SUITE-2",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332411",
            "telephone_number": "810-732-2252",
            "fax_number": "810-732-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 W PIERSON RD",
            "address_2": "SUITE-2",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332411",
            "telephone_number": "810-732-2252",
            "fax_number": "810-732-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHANTY",
        "first_name": "SUBHASIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4501335",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Miloch
• Mind Body and Soul Integrative Services LLC
• Jasmine Minor
• Bethany Misel
• Denise Mitchell, OTR
• Shyvon Reese Montgomery
• Rhonda Kay Montiel, LPN
• Heather Monville
• Mason Monville
• Andrew Lamaar Moore-Leverette, M.ED, BCABA, LBA

• Physical Therapist in Flushing, MI
• Providers in Flushing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.