Individual provider Active NPI

Erick Rigo Pasaylo

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1083119432
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005960 Issued in MI
Practice address
34643 Ketsin Dr
Sterling Heights, MI 48310-5235
Phone
(586) 978-2280
NPI assigned
Mar 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501005960 MI Primary

Addresses

Primary practice location

34643 Ketsin Dr
Sterling Heights, MI 48310-5235

Mailing address

2154 Limestone CT
Sterling Heights, MI 48314-3779
Phone (586) 383-5479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501005960MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1083119432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 LIMESTONE CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143779",
            "telephone_number": "586-383-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34643 KETSIN DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105235",
            "telephone_number": "586-978-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASAYLO",
        "first_name": "ERICK",
        "middle_name": "RIGO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.