Individual provider Active NPI

Samarth Jadav

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1477097590
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017604 Issued in MI
Practice address
20755 Greenfield Rd Ste 602
Southfield, MI 48075-5409
Phone
(248) 443-8088
Fax
(248) 443-8099
NPI assigned
Dec 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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 5501017604 MI Primary

Addresses

Primary practice location

20755 Greenfield Rd Ste 602
Southfield, MI 48075-5409

Mailing address

2652 Beacon Hill Dr Apt 207
Auburn Hills, MI 48326-3729
Phone (248) 325-4710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001000398 MI Practitioner - Physical Therapist in Private Practice 8224436415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017604MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Oct 18, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Oct 18, 2021 Accepting new patients
Therahealth Physio Therapy Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

33566 W 8 Mile Rd
Ste A
Farmington Hills, MI 48335
Phone (248) 478-7330

1110 E Hammond Rd
Unit 5
Traverse City, MI 49686
Phone (231) 995-5210

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1477097590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 BEACON HILL DR APT 207",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263729",
            "telephone_number": "248-325-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20755 GREENFIELD RD STE 602",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755409",
            "telephone_number": "248-443-8088",
            "fax_number": "248-443-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADAV",
        "first_name": "SAMARTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017604",
            "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 Dec 8, 2016; 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.