Individual provider Active NPI

Jyoti Ahuja, P.T.

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1164733796
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014017 Issued in MI
Practice address
26440 Hoover Rd Ste a
Warren, MI 48089-1190
Phone
(586) 756-7500
NPI assigned
Jun 29, 2010
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 5501014017 MI Primary

Addresses

Primary practice location

26440 Hoover Rd Ste a
Warren, MI 48089-1190

Mailing address

2738 Jewell Dr
Rochester Hills, MI 48307-2275
Phone (248) 882-6746

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyoti@acept.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000869 MI Practitioner - Physical Therapist in Private Practice 2163610031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Physical Therapy Services LLCGroup PAC ID 0345644431, 2 clinicians

Practice addresses (Care Compare)

26440 Hoover Rd
Suite a
Warren, MI 48089-1190
Phone (586) 756-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Physical Therapy Services LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Quality Care Rehabilitation Professionals Past Accepting new patients
Quality Care Rehabilitation Professionals, Inc Physical Therapist PastSince Mar 1, 2018 Accepting new patients
Complete Care Rehab LLC PastSince Jun 1, 2021 Accepting new patients

Locations

26440 Hoover Rd
Ste A
Warren, MI 48089
Phone (586) 756-7500

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1164733796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 JEWELL DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072275",
            "telephone_number": "248-882-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26440 HOOVER RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891190",
            "telephone_number": "586-756-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "JYOTI",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoti@acept.org",
            "affiliation": "N",
            "address_1": "26440 Hoover Rd Ste A",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480891190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.