Individual provider Active NPI

Kanchan M Chatarkar

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1376013417
Registry record updated Dec 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016714 Issued in MI
Practice address
1663 Stephenson Hwy
Troy, MI 48083-2169
Phone
(251) 767-2999
NPI assigned
Dec 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501016714 MI Primary

Addresses

Primary practice location

1663 Stephenson Hwy
Troy, MI 48083-2169

Mailing address

19691 Windridge Dr
Northville, MI 48167-3927
Phone (614) 301-6190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621001651 MI Practitioner - Physical Therapist in Private Practice 3072913516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ark Physical Therapists LLCGroup PAC ID 0446691679, 2 clinicians
The Weston Group IncGroup PAC ID 8123936796, 215 clinicians

Practice addresses (Care Compare)

35654 Dequindre Rd
Sterling Heights, MI 48310-4288
Phone (586) 722-7603

42000 7 Mile Rd
Northville, MI 48167-9815
Phone (248) 449-1480

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016714MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jun 9, 2021 Accepting new patients
Ark Physical Therapists LLC Physical Therapist CurrentSince Mar 1, 2024 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jun 9, 2021 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Paxxon Healthcare Services LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
The Weston Group Inc Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Evolve Physical Therapy LLC Physical Therapist CurrentSince Mar 20, 2024 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

3451 Clarkston Rd
Lake Orion, MI 48360
Phone (734) 506-0630

29275 Northwestern Hwy
Ste 150
Southfield, MI 48034
Phone (248) 351-6300

35654 Dequindre Rd
Sterling Heights, MI 48310
Phone (586) 722-7603

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543708800000",
    "number": "1376013417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19691 WINDRIDGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673927",
            "telephone_number": "614-301-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832169",
            "telephone_number": "251-767-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATARKAR",
        "first_name": "KANCHAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-02",
        "last_updated": "2018-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2018; 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.