Organization Active NPI

Healthlink Physical Therapy & Rehabilitation Services, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Sterling Heights, MI
National Provider Identifier
1255476875
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
CV006242 Issued in MI
Legal business name
HEALTHLINK PHYSICAL THERAPY & REHABILITATION SERVICES, INC.
Practice address
3058 Metro Parkway
Suite 207
Sterling Heights, MI 48310
Phone
(586) 983-3980
Fax
(586) 983-5173
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Sunil Mahajan, PT
Title
PT President
Phone
(586) 983-3980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X SM005874 MI
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208100000X CV006242 MI Primary

Addresses

Primary practice location

3058 Metro Parkway
Suite 207
Sterling Heights, MI 48310

Mailing address

3058 Metro Parkway
Suite 207
Sterling Heights, MI 48310
Phone (586) 983-3980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520000016 MI Part B Supplier - Clinic/Group Practice 9032108717 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MI

National Provider Directory

National Provider Directory

Locations

3058 Metropolitan Pkwy
Ste 207
Sterling Hts, MI 48310
Phone (586) 983-3980

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1255476875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 METRO PARKWAY",
            "address_2": "SUITE 207",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-983-3980",
            "fax_number": "586-983-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 METRO PARKWAY",
            "address_2": "SUITE 207",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-983-3980",
            "fax_number": "586-983-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINK PHYSICAL THERAPY & REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "PT PRESIDENT",
        "authorized_official_telephone_number": "586-983-3980",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "SM005874",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "CV006242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.