Ajay Middha, PT OCS MTC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006768 Issued in MI

Practice address

555 W Wackerly St Ste 3600
Midland, MI 48640-4714

Phone

(989) 631-3570

Fax

(989) 631-3275

NPI assigned

Apr 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy Michigan LLCGroup PAC ID 4880087766, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Benchmark Physical Therapy Michigan LLC

  • Physical Therapist
  • Midland, MI
  • NPI 1629740188
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1568428548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST STE 3600",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404714",
            "telephone_number": "989-631-3570",
            "fax_number": "989-631-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W WACKERLY ST STE 3600",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404714",
            "telephone_number": "989-631-3570",
            "fax_number": "989-631-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDHA",
        "first_name": "AJAY",
        "credential": "PT OCS MTC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4495640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-Michigan Facilitation
• Mid-Michigan Pediatric Gastroenterology PLLC
• Mid-Michigan Physical Therapy and Rehab Specialists, LLC
• Mid-Mitten Psychological Services LLC
• Mid-Modern Eye Care, PLLC
• Middle Path LLC
• Midland Center for Accessible Health Care
• Midland Center for Independent Living
• Midland Chiropractic
• Midland Chiropractic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.

Verify at the official NPI Registry.