Ajiesh Avirah, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014368 Issued in MI

Practice address

19556 Harper Ave
Harper Woods, MI 48225-2037

Phone

(313) 885-6491

NPI assigned

Jun 14, 2018

Last updated

Jun 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Peter Medical Center PCGroup PAC ID 5597768739, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• St Peter Medical Center PC

  • Surgery Physician
  • Sterling Heights, MI
  • NPI 1720094337
  Medicare reassignment Care Compare group NPD
• VHS Rehabilitation Institute of Michigan Inc

  dba Rehabilitation Institute of Michigan

  • Rehabilitation Hospital
  • Detroit, MI
  • NPI 1871805150
  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1205320157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012417",
            "telephone_number": "313-885-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19556 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252037",
            "telephone_number": "313-885-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVIRAH",
        "first_name": "AJIESH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allens Consultation Services LLC
• Anderson Family Care Inc
• Frank E Anderson
• Angelz Tranzit
• Justice Avant-Noble
• James Ronald Barren, PSYCHOLOGIST
• Jacqueline Baskerville
• Angela Battani, BA
• Beachside Dialysis LLC (Harper Woods Dialysis)
• Beautiful Babies

• Physical Therapist in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.