Active NPI
Dhara Patel, PT
- Physical Therapist
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018729
- Practice address
- 44200 Woodward Ave Ste 114
Pontiac, MI 48341 - Phone
- (248) 409-3300
- NPI assigned
- Jun 22, 2018
- Last updated
- Jul 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018729 | MI | Primary |
Addresses
Primary practice location
44200 Woodward Ave Ste 114
Pontiac, MI 48341
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Ann Arbor, MI 48108
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501018729 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients | |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Orthopedic Specialists of Oakland County, P.C. | Current | 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
44038 Woodward Ave
Ste 101
Bloomfld Hls, MI 48302
Phone (248) 334-0050
7650 Dixie Hwy
Ste 150
Clarkston, MI 48346
Phone (248) 246-2277
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
44200 Woodward Ave
Ste 114
Pontiac, MI 48341
Phone (248) 409-3300
5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560
Organizations & group practices 4
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.
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1003448994
-
dba ATI Physical Therapy
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
- Orthopaedic Surgery Physician
- Bloomfield Hills, MI
- NPI 1720200140
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1396230330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44200 WOODWARD AVE STE 114",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-409-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHARA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-22",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.