Individual provider Active NPI

Joan Christine Sacksteder, P.T.

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1457312167
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008864 Issued in MI
Practice address
26771 W 12 Mile Rd
Suite 103
Southfield, MI 48034-1539
Phone
(248) 945-9905
NPI assigned
Mar 31, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5501008864 MI Primary

Addresses

Primary practice location

26771 W 12 Mile Rd
Suite 103
Southfield, MI 48034-1539

Mailing address

49918 Pointe Xing
Plymouth, MI 48170-6434
Phone (734) 612-0464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230313000649 OH Practitioner - Physical Therapist in Private Practice 4486663556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501008864MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Buckeye Senior Rehab LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Southeast Rehabilitation and Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

7750 Paragon Rd
Washington Township, OH 45459
Phone (937) 291-3780

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457312167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49918 POINTE XING",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706434",
            "telephone_number": "734-612-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26771 W 12 MILE RD",
            "address_2": "SUITE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341539",
            "telephone_number": "248-945-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACKSTEDER",
        "first_name": "JOAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.