Active NPI
Gagandeep Kaur Cheema
- Physical Therapist
- Plymouth, MI
National Provider Identifier
1659676716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016765
- Practice address
- 9368 N Lilley Rd
Plymouth, MI 48170-4610 - Phone
- (734) 416-3900
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016765 | MI | Primary |
| Physical Therapist | 225100000X | 031869 | NY |
Addresses
Primary practice location
9368 N Lilley Rd
Plymouth, MI 48170-4610
Mailing address
47113 Glastonbury Dr
Canton, MI 48188-6244
Phone (845) 269-7791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone (734) 416-3900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016765 | MI | MD | Physical Therapist |
| 031869 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plymouth Physical Therapy Specialists Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
133 W Main St
Ste 120
Northville, MI 48167
Phone (248) 347-1168
9368 N Lilley Rd
Plymouth, MI 48170
Phone (734) 416-3900
Organizations & group practices 2
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.
-
- Physical Therapist
- Northville, MI
- NPI 1174626329
-
- Physical Therapy Clinic/Center
- Plymouth, MI
- NPI 1356368047
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1659676716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47113 GLASTONBURY DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481886244",
"telephone_number": "845-269-7791"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEEMA",
"first_name": "GAGANDEEP",
"middle_name": "KAUR",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016765",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "031869",
"primary": false
}
],
"identifiers": [],
"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 Feb 1, 2021; 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.