Active NPI
Samarth Jadav
- Physical Therapist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017604
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211001000398 | MI | Practitioner - Physical Therapist in Private Practice | 8224436415 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017604 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | 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.
-
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
MI, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
-
- Preferred Provider Organization
- Southfield, MI
- NPI 1376094268
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.