Individual provider Active NPI

Amar N Patel, PT, DPT

  • Physical Therapist
  • Dearborn Heights, MI
National Provider Identifier
1184737819
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009549 Issued in MI
Practice address
25147 W Warren St
Suite 2
Dearborn Heights, MI 48127-2198
Phone
(313) 277-5508
Fax
(313) 277-5535
NPI assigned
Aug 16, 2006
Last updated
Oct 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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 5501009549 MI Primary

Addresses

Primary practice location

25147 W Warren St
Suite 2
Dearborn Heights, MI 48127-2198

Mailing address

25147 W Warren St
Suite 2
Dearborn Heights, MI 48127-2198
Phone (313) 277-5508

Other identifiers 1

IdentifierTypeStateIssuer
5501009549OtherMIBUREAU OF HEALTH SERVICES, STATE OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000426 MI Practitioner - Physical Therapist in Private Practice 3971561283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mansach Enterprises LLCGroup PAC ID 5991934184, 3 clinicians

Practice addresses (Care Compare)

3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone (248) 857-6776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501009549MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mansach Enterprises LLC CurrentSince Jul 10, 2023 Accepting new patients
Michigan Therapeutic Solutions Inc Current Accepting new patients
Mansach Enterprises LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Tru-Care Therapy Center LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

24142 W Warren St
Ste B
Dearborn Heights, MI 48127
Phone (313) 277-5508

3000 Centerpoint Pkwy
Pontiac, MI 48341
Phone (248) 857-6776

2111 Golfside Rd
Ste 5
Ypsilanti, MI 48197
Phone (248) 965-3796

Organizations & group practices 6

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381708800000",
    "number": "1184737819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25147 W WARREN ST",
            "address_2": "SUITE 2",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272198",
            "telephone_number": "313-277-5508",
            "fax_number": "313-277-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25147 W WARREN ST",
            "address_2": "SUITE 2",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272198",
            "telephone_number": "313-277-5508",
            "fax_number": "313-277-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMAR",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2013-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF HEALTH SERVICES, STATE OF MICHIGAN",
            "identifier": "5501009549",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.