Organization Active NPI

Ally Physical Therapy LLC

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1407146343
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012274 Issued in MI
Legal business name
ALLY PHYSICAL THERAPY LLC
Practice address
32858 Five Mile Rd
Livonia, MI 48154-3048
Phone
(734) 525-3000
Fax
(734) 525-3001
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Mr. Mehul Vaidya, PTNPI 1528175338
Title
President/Administrator
Phone
(734) 525-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5501012274 MI Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 5201005036 MI

Addresses

Primary practice location

32858 Five Mile Rd
Livonia, MI 48154-3048

Mailing address

32858 Five Mile Rd
Livonia, MI 48154-3048
Phone (734) 525-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160523001333 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8729266531 Receives reassigned benefits from 6 practitioners
Practice locations: Novi, MI; Livonia, MI; Canton, MI

National Provider Directory

National Provider Directory

Locations

7313 N Lilley Rd
Canton, MI 48187
Phone (734) 335-8202

45380 W 10 Mile Rd
Ste 100
Novi, MI 48375
Phone (248) 302-7400

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1407146343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32858 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543048",
            "telephone_number": "734-525-3000",
            "fax_number": "734-525-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32858 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543048",
            "telephone_number": "734-525-3000",
            "fax_number": "734-525-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "VAIDYA",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "734-525-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012274",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.