Agewise Mobility, LLC
Organization Active NPI Physical Therapist · Okemos, MI
NPI 1609685015 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1609685015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- AGEWISE MOBILITY, LLC
- Practice address
- 3948 Windy HTS
Okemos, MI 48864-3589 - Phone
- (269) 579-5659
- NPI assigned
- Jan 1, 2025
- Organization subpart
- No
Authorized official
- Name
- Mariya Vohra
- Title
- Owner/Managing Member
- Phone
- (269) 579-5659
Practitioners 1
-
Mariya Vohra, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250129001132 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9133658636 |
Receives reassigned benefits from 1 practitioner Practice locations: Lansing, MI; Okemos, MI |
National Provider Directory
Locations
1808 S Pennsylvania Ave
Ste B
Lansing, MI 48910
Phone (517) 485-6691
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
3948 Windy HTS
Okemos, MI 48864-3589
Mailing address
3948 Windy HTS
Okemos, MI 48864-3589
Phone (269) 579-5659
Other providers in Okemos, MI
- Allison Dama Affandy
- Affinity Counseling LLC
- Andlib Afshan
- Age at Home Therapy PLLC
- Agency for Growth
- Harpreet Aggarwal
- Agility Home Health Care Services, Inc.
- Agnar Health Solutions, Inc.
- Cindy Agnew
- Zulfiqar Ahmed
All providers in Okemos, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.