Wyandotte Physical Therapy Associates, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WYANDOTTE PHYSICAL THERAPY ASSOCIATES, INC.

Practice address

470 Eureka Rd
Wyandotte, MI 48192-5842

Phone

(734) 262-4861

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Rajeev Mittal, PTNPI 1154362663

Title

President

Phone

(734) 262-4861

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 7

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

• Rajeev Mittal, PT

  • Physical Therapist
  • Riverview, MI
  • NPI 1154362663
  Medicare reassignment Care Compare group NPD Authorized official
• Sudhi Khurana

  • Physical Therapist
  • Riverview, MI
  • NPI 1427099464
  Medicare reassignment Care Compare group NPD
• Sara F Maher, PT

  • Physical Therapist
  • Riverview, MI
  • NPI 1336357649
  NPD (past)
• Stavroula Liogas Papadakos, PT

  • Physical Therapist
  • Wyandotte, MI
  • NPI 1346369063
  NPD (past)
• Babu Rajasekaran

  • Physical Therapist
  • Riverview, MI
  • NPI 1861796591
  NPD (past)
• Megha Badole, PT

  • Physical Therapist
  • Hicksville, NY
  • NPI 1730346503
  NPD (past)
• Ann-Marie Steel, PT

  • Physical Therapist
  • Conroe, TX
  • NPI 1669585832
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1154368215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13912 PERRY",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481934568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481925842",
            "telephone_number": "734-262-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDOTTE PHYSICAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "RAJEEV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-262-4861",
        "authorized_official_credential": "PT"
    },
    "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": []
}

• Wyandotte Medical Practices
• Wyandotte Medical Practices
• Wyandotte Optical,P.C.
• Wyandotte Pharmacy, Inc.
• Wyandotte Pharmacy, Inc.
• Wyandotte Physician Practices
• Wyandotte Urgent Care
• Wyandotte Urgent Care Clinic
• Diane Wyatt, MSN, RN, AGCNS-BC
• Charles Xin, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.