Procare Physical Therapy & Rehabilitation Centre

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006078 Issued in MI

Legal business name

PROCARE PHYSICAL THERAPY & REHABILITATION CENTRE

Practice address

38004 Fringe Dr
Sterling Heights, MI 48310-3053

Phone

(248) 353-3260

Fax

(248) 353-3275

NPI assigned

Jun 1, 2007

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vivek Shirishkar, RPTNPI 1881758787

Title

President

Phone

(248) 353-3260

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivek Shirishkar, RPT

  • Physical Therapist
  • Southfield, MI
  • NPI 1881758787
  Medicare reassignment NPD Authorized official
• Archana Shirishkar, OTR

  • Occupational Therapist
  • Southfield, MI
  • NPI 1386708295
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1619179884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 17 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106831",
            "telephone_number": "248-353-3260",
            "fax_number": "888-267-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38004 FRINGE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103053",
            "telephone_number": "248-353-3260",
            "fax_number": "248-353-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE PHYSICAL THERAPY & REHABILITATION CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "SHIRISHKAR",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-353-3260",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104742811",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F337260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "650F324050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "104742811",
            "identifier": "MOLINA",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Preztige Medical Transportation
• Amber Price
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• Priority Physical Therapy and Rehabiliation, LLC.
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• Procare Rehab Services PLLC
• Professional Care Center PC
• Professional Dental Alliance of Sterling Heights, LLC (Sterling Dental)
• Promed Medical Equipment Inc
• Proud Mary Bras

• Physical Therapist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.