Individual provider Active NPI

David Sharath, P.T.

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1164579686
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006052 Issued in MI
Practice address
37888 McKenzie CT
Farmington Hills, MI 48331-4834
Phone
(248) 910-3711
Fax
(248) 876-4228
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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 5501006052 MI Primary

Addresses

Primary practice location

37888 McKenzie CT
Farmington Hills, MI 48331-4834

Mailing address

2600 Compass Road
Glenview, IL 60026
Phone (877) 787-3430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230521000128 MI Practitioner - Physical Therapist in Private Practice 5496798530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
Golden Triangle Rehab Inc PastSince Jan 1, 2022 Accepting new patients

Locations

2600 Compass Rd
Glenview, IL 60026
Phone (815) 232-2582

21450 Archwood Cir
Farmington Hills, MI 48336
Phone (248) 426-6903

202 S Bridge St
Linden, MI 48451
Phone (810) 735-9400

15475 Middlebelt Rd
Livonia, MI 48154
Phone (734) 427-9175

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1164579686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS ROAD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60026",
            "telephone_number": "877-787-3430",
            "fax_number": "847-386-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37888 MCKENZIE CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483314834",
            "telephone_number": "248-910-3711",
            "fax_number": "248-876-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARATH",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.