Carrie Bashista, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502000422 Issued in MI

Practice address

42400 W 12 Mile Rd
Novi, MI 48377-3015

Phone

(734) 386-0804

NPI assigned

Jul 27, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1306572987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37503 LADYWOOD ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42400 W 12 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773015",
            "telephone_number": "734-386-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHISTA",
        "first_name": "CARRIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bartley
• Edward E Barton, MD
• Elizabeth Barzegar
• Or Barzilay
• Joycelyn Basey
• Haley Bashore
• Courtney Lynn Basil, OTR/L
• Allicia Bass
• Kaylin Marie Bass
• Jessica Bassett

• Physical Therapy Assistant in Novi, MI
• Providers in Novi, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.