Jai Bhagwanji Bhawsar

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

L2504876 Issued in MI

Practice address

15636 Southfield Rd
Allen Park, MI 48101-2513

Phone

(313) 928-0700

NPI assigned

Jun 28, 2013

Last updated

Jun 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Grace Rehab Inc

  dba Preferred Rehabilitation Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Allen Park, MI
  • NPI 1215006465

  Physical Therapist

  NPD (past)
• Spine Sports & Occupational Medicine P.C.

  • Physical Medicine & Rehabilitation Physician
  • Allen Park, MI
  • NPI 1962571125
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372550400000",
    "number": "1356781876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 NORTH LOVINGTON DRIVE",
            "address_2": "APT # 202",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48083",
            "telephone_number": "586-214-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15636 SOUTHFIELD RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012513",
            "telephone_number": "313-928-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAWSAR",
        "first_name": "JAI",
        "middle_name": "BHAGWANJI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "L2504876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan Rafic Bazzi, DO
• Nader H Bazzi, DO
• Kyle Bell
• Alphonza Bellamy, A.T.,C.
• Fatmeh Berro
• Sharon M Bianco, D.C.
• Biotox Laboratory, LLC
• Barbara Dana Bishop
• Lisa Black
• Body Essentials Therapeutic Massage, LLC

• Physical Therapist in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2013; 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.