Individual provider Active NPI

Saurish Chakravarty, PT

  • Physical Therapist
  • Keego Harbor, MI
National Provider Identifier
1659620706
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013774 Issued in MI
Practice address
2700 Orchard Lake Rd
Keego Harbor, MI 48320-1445
Phone
(248) 683-0185
Fax
(248) 683-5692
NPI assigned
Sep 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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 5501013774 MI Primary

Addresses

Primary practice location

2700 Orchard Lake Rd
Keego Harbor, MI 48320-1445

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

3161 Churchhill Ln
#3
Saginaw, MI 48603-4316
Phone (989) 397-5563

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schakravarty739593@direct.hfhs.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131008000859 MI Practitioner - Physical Therapist in Private Practice 1456585322 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rehabilitation Specialists of Fowlerville LLCGroup PAC ID 6204730393, 125 clinicians

Practice addresses (Care Compare)

2700 Orchard Lake Rd
Keego Harbor, MI 48320-1445
Phone (248) 683-0185

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince May 13, 2024 Accepting new patients
Tmi East, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Mar 13, 2023 Accepting new patients
Horizon Physical Therapy and Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2016 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Progress Physical Therapy Inc Physical Therapist PastSince Jul 20, 2015 Accepting new patients
Dwight Orthopedic Rehabilitation Co Physical Therapist PastSince May 19, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141

2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

568 N Pine Rd
Bay City, MI 48708
Phone (989) 714-5007

3867 Wilder Rd
Bay City, MI 48706
Phone (989) 460-0020

2510 S Telegraph Rd
Ste I
Bloomfield Hills, MI 48302
Phone (248) 335-2000

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

3600 Miller Rd
Flint, MI 48503
Phone (810) 232-5627

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

17020 Fort St
Riverview, MI 48193
Phone (734) 759-1356

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Interoperability endpoints

  • Direct secure messaging: saurish.chakravarty.p4@direct.athleticoltd.nextgenshare.com

Organizations & group practices 12

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1659620706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ORCHARD LAKE RD",
            "city": "KEEGO HARBOR",
            "state": "MI",
            "postal_code": "483201445",
            "telephone_number": "248-683-0185",
            "fax_number": "248-683-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3161 Churchhill Ln",
            "address_2": "#3",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486034316",
            "country_code": "US",
            "telephone_number": "989-397-5563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKRAVARTY",
        "first_name": "SAURISH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schakravarty739593@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "5500 Auto Club Dr Ste 150",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481262779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Keego Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.