Candice Nicole Carbajal, PT
Individual provider Active NPI Physical Therapist · Dexter, MI
NPI 1336462035 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1336462035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501016174 (MI)
- Practice address
- 2810 Baker Rd Ste 101
Dexter, MI 48130-1114 - Phone
- (734) 424-9710
- Fax
- (734) 424-9711
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Michigan Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Rehabilitation Specialists of Fowlerville LLC
Practice addresses (Care Compare)
1613 S Huron St
Ati Physical Therapy
Ypsilanti, MI 48197-9701
Phone (734) 483-9200
5700 Jackson Rd
Ann Arbor, MI 48103-9504
Phone (734) 926-4710
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140305001491 | MI | Practitioner - Physical Therapist in Private Practice | 0042340481 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016174 | MI | MD | Physical Therapist |
| 3108700 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current |
Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
3157 Fairlane Dr
Allen Park, MI 48101
Phone (313) 827-0099
4765 Jackson Rd
Ste B
Ann Arbor, MI 48103
Phone (734) 926-4710
2625 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 585-3313
3500 Washtenaw Ave
Ste B
Ann Arbor, MI 48104
Phone (734) 794-9915
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
42955 Ford Rd
Canton, MI 48187
Phone (734) 981-2100
1110 S Main St
Chelsea, MI 48118
Phone (734) 593-3074
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
2810 Baker Rd
#101
Dexter, MI 48130
Phone (734) 424-9710
7057 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-1406
33566 W 8 Mile Rd
Ste A
Farmington Hills, MI 48335
Phone (248) 478-7330
1235 Holiday Blvd
Monroe, MI 48162
Phone (734) 242-4866
17783 Haggerty Rd
Northville, MI 48168
Phone (248) 675-1875
1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138
44191 Plymouth Oaks Blvd
Ste 800
Plymouth, MI 48170
Phone (734) 259-7102
14349 Telegraph Rd
Redford, MI 48239
Phone (313) 541-2886
21308 Eureka Rd
Taylor, MI 48180
Phone (734) 759-0271
11650 Belleville Rd
Ste 102
Van Buren Township, MI 48111
Phone (734) 325-2443
5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560
23309 Allen Rd
Woodhaven, MI 48183
Phone (734) 561-0070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3108700 | TX | |
| Physical Therapist | 225100000X | 5501016174 | MI | Yes |
Addresses
Primary practice location
2810 Baker Rd Ste 101
Dexter, MI 48130-1114
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other providers in Dexter, MI
- Julie Anne Bumpus X
- Thomas Joseph Burke
- Buschs Inc
- Erik Charles Cabble
- Alyssa Cairo
- Jessica Carder
- Care2Cure Physical Therapy PC
- Kelly D Carrier
- Kristine Lorain Cece
- Betty J Chaffee
All providers in Dexter, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.