Active NPI
Jayadeepsinh Rajendrasinh Rathod, RPT
- Physical Therapist
- Canton, MI
National Provider Identifier
1497069728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013850
- Practice address
- 43973 Nowland Drive
Canton, MI 48188 - Phone
- (248) 304-1900
- Fax
- (989) 772-7750
- NPI assigned
- Jul 28, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 5501013850 | MI | Primary |
Addresses
Primary practice location
43973 Nowland Drive
Canton, MI 48188
Mailing address
43973 Nowland Drive
Canton, MI 48188
Phone (248) 304-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501013850 | Other | MI | STATE OF MICHIGAN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy Services LLC | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- jrathod496057@direct.hfhs.org
Organizations & group practices 1
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
- Center Line, MI
- NPI 1609152339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1497069728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43973 NOWLAND DRIVE",
"city": "CANTON",
"state": "MI",
"postal_code": "48188",
"telephone_number": "248-304-1900",
"fax_number": "989-772-7750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43973 NOWLAND DRIVE",
"city": "CANTON",
"state": "MI",
"postal_code": "48188",
"telephone_number": "248-304-1900",
"fax_number": "989-772-7750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHOD",
"first_name": "JAYADEEPSINH",
"middle_name": "RAJENDRASINH",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-28",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501013850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "5501013850",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.