Maitrey Thakar

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014109 Issued in MI

Practice address

49236 Brooklyn
Shelby Township, MI 48317-2374

Phone

(732) 824-4725

NPI assigned

Jan 4, 2019

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maitrey.thakar.1@28586.direct.athenahealth.com

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.

• Physical Therapy Southfield, P.C.

  • Physical Therapist
  • Southfield, MI
  • NPI 1922072974
  Medicare reassignment NPD
• Regain Therapy Services LLC

  • Physical Therapist
  • Clarkston, MI
  • NPI 1255043196
  Medicare reassignment NPD
• Medstar Rehabilitation Inc.

  • Physical Therapist
  • Canton, MI
  • NPI 1720188584
  Medicare reassignment

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1417420274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49236 BROOKLYN",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172374",
            "telephone_number": "732-824-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49236 BROOKLYN",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483172374",
            "telephone_number": "732-824-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKAR",
        "first_name": "MAITREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Connection Compass LLC
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• The Solution to Life

• Physical Therapist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.