Individual provider Active NPI

Bhumika Dedhia

  • Physical Therapist
  • Shelby Township, MI
National Provider Identifier
1467234419
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016168 Issued in MI
Practice address
4200 W Utica Rd
Shelby Township, MI 48317-4766
Phone
(248) 703-3767
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 5501016168 MI Primary

Addresses

Primary practice location

4200 W Utica Rd
Shelby Township, MI 48317-4766

Mailing address

48331 Primrose Dr
Macomb, MI 48044-2331

Other practice location 1

8350 Plumbrook Rd
Sterling Heights, MI 48313-4730
Phone (248) 703-3767

Other practice location 2

36333 Garfield Rd
Clinton Township, MI 48035-1176
Phone (248) 703-3767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501016168MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1467234419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48331 PRIMROSE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W UTICA RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483174766",
            "telephone_number": "248-703-3767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8350 Plumbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483134730",
            "country_code": "US",
            "telephone_number": "248-703-3767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36333 Garfield Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480351176",
            "country_code": "US",
            "telephone_number": "248-703-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDHIA",
        "first_name": "BHUMIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.