Organization Active NPI

Healthcure Rehabilitation, Inc.

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1528024163
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005660 Issued in MI
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

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Shardul H Pandya, RPTNPI 1326219312
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4630118MedicaidMI
145304OtherMIGREAT LAKE HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.