Gurbahar Singh Sidhu

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014522 Issued in MI

Practice address

49063 Gaviota LN
Macomb, MI 48044-1164

Phone

(586) 822-0007

NPI assigned

Apr 16, 2019

Sex

Male

Sole proprietor

Yes

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Back to Life Therapy & Rehab LLC

  • Physical Therapist
  • Taylor, MI
  • NPI 1306527452
  Medicare reassignment NPD

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1619530557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35745 N GRANDVIEW CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352414",
            "telephone_number": "214-208-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49063 GAVIOTA LN",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441164",
            "telephone_number": "586-822-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GURBAHAR",
        "middle_name": "SINGH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shining Light Osteopathic Care PLLC
• Rachel Marie Shoff, PTA
• Gregory Shonk, RN
• Shugababies
• Omama Siddiqui, MD
• Michelle L. Siev, LLPC
• Signature Home Care LLC
• Mark E Sikorski, DO
• Scott Michael Bruce Sikorski, D.O.
• Bashar Sileewa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.