Shardul Harendra Pandya, RPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

5501005660 Issued in MI

Practice address

21647 Ryan Rd
Warren, MI 48091-2795

Phone

(586) 757-0317

Fax

(586) 757-0397

NPI assigned

Mar 18, 2008

Last updated

Sep 22, 2017By 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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Healthcure Rehabilitation, Inc.

  • Physical Therapist
  • Warren, MI
  • NPI 1528024163
  Medicare reassignment NPD Authorized official
• Complete Fitness Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Troy, MI
  • NPI 1477546729
  NPD (past)
• Health Care Team, P. C.

  • Occupational Therapist
  • Troy, MI
  • NPI 1609954734
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1326219312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21647 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912795",
            "telephone_number": "586-264-0388",
            "fax_number": "586-757-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21647 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480912795",
            "telephone_number": "586-757-0317",
            "fax_number": "586-757-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "SHARDUL",
        "middle_name": "HARENDRA",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5501005660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soumya Venkata Panchagnula
• Siraj Panchbhaiya, D.P.M.
• Chandravadan Pancholi, DDS
• Priyanka Pandey, DO
• Neha Hasmukhlal Pandya, RPT
• Jessica Paneccasio
• Percival Pangilinan, MD
• Kristen Foley Panozzo, DO
• George Papanastassiou, RPH
• Sara Marie Papple, DO

• Specialist in Warren, MI
• Providers in Warren, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.