Organization Active NPI

Ally Physical Therapy Plymouth , Inc.

  • Physical Therapist
  • Plymouth, MI
National Provider Identifier
1093399776
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALLY PHYSICAL THERAPY PLYMOUTH , INC.
Practice address
265 N Main St
Plymouth, MI 48170
Phone
(734) 392-8200
Fax
(734) 392-8022
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Mr. Mehul Vaidya, P.T.NPI 1528175338
Title
President
Phone
(734) 525-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

265 N Main St
Plymouth, MI 48170

Mailing address

32858 S Mile Rd
Livonia, MI 48154
Phone (734) 525-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220330002489 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244626240 Receives reassigned benefits from 1 practitioner
Practice locations: Plymouth, MI

National Provider Directory

National Provider Directory
Tax ID family
Ally Physical Therapy Plymouth2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

32858 5 Mile Rd
Livonia, MI 48154
Phone (734) 525-3000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1093399776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32858 S MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-525-3000",
            "fax_number": "734-525-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170",
            "telephone_number": "734-392-8200",
            "fax_number": "734-392-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY PHYSICAL THERAPY PLYMOUTH , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-08",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-525-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.