Individual provider Active NPI

Mariya Vohra, PT, DPT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1447581905
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016101 Issued in MI
Practice address
3145 W Mount Hope Ave
Lansing, MI 48911-1665
Phone
(269) 579-5659
NPI assigned
Jan 22, 2010
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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 5501016101 MI Primary

Addresses

Primary practice location

3145 W Mount Hope Ave
Lansing, MI 48911-1665

Mailing address

3145 W Mount Hope Ave
Lansing, MI 48911-1665
Phone (269) 579-5659

Other practice location 1

4775 Village Dr
Grand Ledge, MI 48837-8107
Phone (269) 579-5659

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241104001681 MI Practitioner - Physical Therapist in Private Practice 5193258713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3948 Windy HTS
Okemos, MI 48864-3589
Phone (269) 579-5659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501016101MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agewise Mobility, LLC Physical Therapist CurrentSince Jan 8, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

3041 Charlevoix Dr SE
Grand Rapids, MI 49546
Phone (616) 552-7255

1808 S Pennsylvania Ave
Ste B
Lansing, MI 48910
Phone (517) 485-6691

2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010

46471 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9559

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1447581905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W MOUNT HOPE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489111665",
            "telephone_number": "269-579-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W MOUNT HOPE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489111665",
            "telephone_number": "269-579-5659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4775 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Grand Ledge",
            "state": "MI",
            "postal_code": "488378107",
            "country_code": "US",
            "telephone_number": "269-579-5659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOHRA",
        "first_name": "MARIYA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.