Individual provider Active NPI

Neha Agrawal, PT

  • Physical Therapist
  • Plymouth, MI
National Provider Identifier
1609238740
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015949 Issued in MI
Practice address
9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone
(734) 416-3900
Fax
(734) 416-3903
NPI assigned
Mar 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501015949 MI Primary

Addresses

Primary practice location

9368 N Lilley Rd
Plymouth, MI 48170-4610

Mailing address

9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (734) 416-3900

Other identifiers 1

IdentifierTypeStateIssuer
5501015949OtherMISTATE OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721000326 MI Practitioner - Physical Therapist in Private Practice 6103119615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Unlimited LLCGroup PAC ID 1557529567, 2 clinicians

Practice addresses (Care Compare)

44125 W 12 Mile Rd
E 123 Box D7
Novi, MI 48377-1983
Phone (248) 952-4340

49650 Cherry Hill Rd
Suite 230
Canton, MI 48187-4860
Phone (734) 495-3725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015949MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Jun 6, 2016 Accepting new patients
Therapy Unlimited, LLC Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients

Locations

49650 Cherry Hill Rd
Ste 230
Canton, MI 48187
Phone (734) 495-3725

4128 E Grand River Ave
Howell, MI 48843
Phone (517) 540-1060

44125 W Twelve Mile Rd
Ste E-123
Novi, MI 48377
Phone (248) 442-5011

39885 Grand River Ave
Ste 300
Novi, MI 48375
Phone (248) 615-0282

9368 N Lilley Rd
Plymouth, MI 48170
Phone (734) 416-3900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1609238740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9368 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704610",
            "telephone_number": "734-416-3900",
            "fax_number": "734-416-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9368 N LILLEY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704610",
            "telephone_number": "734-416-3900",
            "fax_number": "734-416-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "NEHA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5501015949",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.