Jatinkumar Vaghasiya, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014937 Issued in MI

Practice address

15565 Northland Dr
Suite 103W
Southfield, MI 48075

Phone

(248) 809-2094

NPI assigned

Nov 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Great Lakes Pain and Injury Center

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1548706534
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1538565973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR",
            "address_2": "SUITE 103W",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-809-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15565 NORTHLAND DR",
            "address_2": "SUITE 103W",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-809-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAGHASIYA",
        "first_name": "JATINKUMAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• USA Pathology and Toxicology Laboratories, PLLC
• USA Vein Clinics of Detroit PLLC
• Deborah Jean Uskup
• Anick Uwamwiza
• V-Care Home Health Inc
• Cynthia Mahesh Vakhariya, D.O.
• Sobha Vakhariya, PSYD, LLP
• Tiffany Latissha Valentine
• Tina Marie Valentine
• Madeline Vallimont

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.