Individual provider Active NPI

Shweta Bhatia

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1659696516
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014968 Issued in MI
Practice address
29350 Southfield Rd
Suite 15
Southfield, MI 48076-2053
Phone
(248) 327-6619
Fax
(248) 327-6628
NPI assigned
Apr 5, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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 5501014968 MI Primary

Addresses

Primary practice location

29350 Southfield Rd
Suite 15
Southfield, MI 48076-2053

Mailing address

18907 Mills Choice Road
Montgomery Village, MD 20886
Phone (630) 550-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501014968MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapy Solutions, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1659696516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18907 MILLS CHOICE ROAD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "20886",
            "telephone_number": "630-550-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29350 SOUTHFIELD RD",
            "address_2": "SUITE 15",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762053",
            "telephone_number": "248-327-6619",
            "fax_number": "248-327-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "SHWETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.