Sidharth Anneboina, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013970 Issued in MI

Practice address

202 E Van Riper Rd Ste 200
Fowlerville, MI 48836-7947

Phone

(517) 223-2100

Fax

(517) 223-2101

NPI assigned

Jul 9, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

We Care Physical Therapy 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.78 of 100Reported as group

Quality

89.5

Improvement activities

40

Cost

71.87

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.

• We Care Physical Therapy

  • Physical Therapist
  • Southfield, MI
  • NPI 1801317409

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Michigan Rehabilitation Specialists of Fowlerville LLC

  • Physical Therapist
  • Fowlerville, MI
  • NPI 1669531166

  MI, Physical Therapist

  Medicare reassignment NPD
• The Porretta Center for Orthopaedic Surgery, PLLC

  • Orthopaedic Surgery Physician
  • Novi, MI
  • NPI 1306818331

  MI, Physical Therapist

  Medicare reassignment NPD
• Michigan Rehabilitation Specialists of Fowlerville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dexter, MI
  • NPI 1407525892
  NPD
• Northville Physical Rehabilitation, P.C.

  • Physical Therapist
  • Northville, MI
  • NPI 1982770673
  NPD
• The Porretta Center for Orthopaedic Surgery, PLLC

  • Customized Equipment (DME)
  • Howell, MI
  • NPI 1407428584
  NPD
• Medcity Rehabilitation Services, LLC

  • Physical Therapy Clinic/Center
  • Highland Park, MI
  • NPI 1740502772

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1659683407",
    "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",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E VAN RIPER RD STE 200",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488367947",
            "telephone_number": "517-223-2100",
            "fax_number": "517-223-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26750 Providence Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741211",
            "country_code": "US",
            "telephone_number": "669-742-6738",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANNEBOINA",
        "first_name": "SIDHARTH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013970",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501013970",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fowlerville, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.