Active NPI
Himanshu Chandrakant Dave
- Physical Therapist
- Clinton Township, MI
National Provider Identifier
1215937222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005262
- Practice address
- 43681 Grouse Dr
Clinton Township, MI 48038-7413 - Phone
- (586) 362-6535
- Fax
- (586) 461-4088
- NPI assigned
- Aug 1, 2005
- Last updated
- Jan 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501005262 | MI | Primary |
Addresses
Primary practice location
43681 Grouse Dr
Clinton Township, MI 48038-7413
Mailing address
43681 Grouse Dr
Clinton Township, MI 48038-7413
Phone (586) 362-6535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005262 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Choice Home Health Care, Inc. | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Troy, MI
- NPI 1124154240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1215937222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43681 GROUSE DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387413",
"telephone_number": "586-362-6535",
"fax_number": "586-461-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43681 GROUSE DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387413",
"telephone_number": "586-362-6535",
"fax_number": "586-461-4088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "HIMANSHU",
"middle_name": "CHANDRAKANT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.