Active NPI
Harish Sathri Jedediah, PT
- Physical Therapist
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 12855 Dix Toledo Rd
Southgate, MI 48195-1744 - Phone
- (586) 219-1290
- NPI assigned
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
12855 Dix Toledo Rd
Southgate, MI 48195-1744
Mailing address
1595 Beachwood Dr
Walled Lake, MI 48390-5881
Phone (586) 219-1290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A-Plus Home Health Care Inc. | Current | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| A-Plus Home Health Care Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) W-2 Managing Employee (100%) |
Mar 4, 2025 Mar 4, 2025 Mar 4, 2025 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Southfield, MI
- NPI 1942386511
5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee
Organizations & group practices 2
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 Therapist
- Southgate, MI
- NPI 1184359325
-
- Home Health Agency
- Southfield, MI
- NPI 1942386511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1467187690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 BEACHWOOD DR",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483905881",
"telephone_number": "586-219-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 DIX TOLEDO RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481951744",
"telephone_number": "586-219-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATHRI JEDEDIAH",
"first_name": "HARISH",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-21",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.