Archana Shirishkar, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201001865 Issued in MI

Practice address

26699 W 12 Mile Rd
Ste 202
Southfield, MI 48034-1578

Phone

(242) 353-3260

Fax

(248) 353-3275

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Procare Rehab Services PLLC

  • Occupational Therapist
  • Sterling Heights, MI
  • NPI 1922200153
  Medicare reassignment Authorized official
• Center for Sports Medicine & Fitness, Inc.

  dba Procare Physical Therapy & rehab Center

  • Physical Therapist
  • Lathrup Village, MI
  • NPI 1164648432
  NPD (past)
• Procare Physical Therapy & Rehabilitation Centre

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1619179884
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1386708295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38004 FRINGE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103053",
            "telephone_number": "248-353-3260",
            "fax_number": "248-353-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26699 W 12 MILE RD",
            "address_2": "STE 202",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341578",
            "telephone_number": "242-353-3260",
            "fax_number": "248-353-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRISHKAR",
        "first_name": "ARCHANA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201001865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICE",
            "identifier": "5201001865",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "670F302750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexia Shina
• Sanquela Shine
• Shining Stars ABA Corp
• Rochelle Shipway
• Dhananjay Hanumanth Shirgavi, MD
• Vivek Shirishkar, RPT
• Shirley T Sherrod MD PC
• Monae Lianna Shirley
• Alexis Shivers
• Ayah Shkoukani

• Occupational Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.