Dhavalkumar Modi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013152 Issued in MI

Practice address

228 W Chicago Rd
Sturgis, MI 49091-1709

Phone

(269) 651-2550

NPI assigned

Oct 29, 2007

Last updated

Oct 29, 2007By the provider in NPPES

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Outpatient Rehabilitation Services LLCGroup PAC ID 8022272848, 199 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Paragon Outpatient Rehabilitation Services, LLC

  dba Synchrony Rehabilitation

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  MI

  Medicare reassignment Care Compare group
• Alliance Physical Therapy Group LLC

  dba Armor Physical Therapy

  • Physical Therapist
  • Holland, MI
  • NPI 1649216144
  Medicare reassignment NPD
• Eagle Rehab Corporation

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Sturgis, MI
  • NPI 1851351670
  NPD (past)
• Physiotherapy Associates, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Lansing, MI
  • NPI 1033216379
  NPD (past)
• Florida First Care, Inc.

  • Home Health Agency
  • Orange Park, FL
  • NPI 1215220421
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1467631200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911709",
            "telephone_number": "269-651-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911709",
            "telephone_number": "269-651-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "DHAVALKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Agency With Choice
• Michigan Em-I Medical Services, P.C.
• Midwest Optometry Group, PLLC
• Jeffrey Earl Millett, DDS
• Kerri Lou Millett, DDS
• Robin D Moffitt, NP-C
• Julie Montgomery
• Tina L Morency, RPH
• Courtney Mundell, LAT, ATC
• Sharon Myers, FNP-C

• Physical Therapist in Sturgis, MI
• Providers in Sturgis, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.