Active NPI
Healthcure Rehabilitation, Inc.
- Physical Therapist
- Warren, MI
National Provider Identifier
1528024163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005660
- Legal business name
- HEALTHCURE REHABILITATION, INC.
- Practice address
- 21647 Ryan Rd
Warren, MI 48091-2795 - Phone
- (586) 757-0317
- Fax
- (586) 757-0397
- NPI assigned
- Apr 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Shardul H Pandya, RPT
- Title
- President
- Phone
- (586) 757-0317
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501005660 | MI | Primary |
Addresses
Primary practice location
21647 Ryan Rd
Warren, MI 48091-2795
Mailing address
12835 Picadilly Dr
Sterling Heights, MI 48312-1507
Phone (586) 264-0388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4630118 | Medicaid | MI | |
| 145304 | Other | MI | GREAT LAKE HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615000447 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 5092799445 |
Receives reassigned benefits from 1 practitioner Practice locations: Hamtramck, MI; Warren, MI |
National Provider Directory
National Provider DirectoryLocations
12169 Joseph Campau St
Hamtramck, MI 48212
Phone (248) 269-6775
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Highland Park, MI
- NPI 1639256100
-
- Internal Medicine Physician
- Troy, MI
- NPI 1932273901
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1518937762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528024163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12835 PICADILLY DR",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483121507",
"telephone_number": "586-264-0388",
"fax_number": "586-757-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21647 RYAN RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480912795",
"telephone_number": "586-757-0317",
"fax_number": "586-757-0397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCURE REHABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PANDYA",
"authorized_official_first_name": "SHARDUL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-757-0317",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4630118",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKE HEALTH PLAN",
"identifier": "145304",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.