Individual provider Active NPI

Rutva B Delwadia

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1669222014
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303609 Issued in MI
Practice address
58 Parkland PLZ Ste 100
Ann Arbor, MI 48103-6208
Phone
(734) 222-8515
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303609 MI Primary
Physical Therapist 225100000X 070.028114 IL

Addresses

Primary practice location

58 Parkland PLZ Ste 100
Ann Arbor, MI 48103-6208

Mailing address

58 Parkland PLZ Ste 100
Ann Arbor, MI 48103-6208
Phone (734) 222-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240409004489 IL Practitioner - Physical Therapist in Private Practice 5294173225 Reassigns benefits to 1 organization
I20260123002646 MI Practitioner - Physical Therapist in Private Practice 5294173225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

10020 Professional Ctr Dr
Suite 100
Hamburg, MI 48139-0799
Phone (810) 893-7623

722 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 695-5088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028114ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Mar 19, 2024 Accepting new patients
Healing Hands Therapy LTD Physical Therapist CurrentSince Aug 10, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 19, 2024 Accepting new patients

Locations

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

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

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

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

58 Parkland Plz
Ste 100
Ann Arbor, MI 48103
Phone (734) 222-8515

10020 Professional Centre Dr
Ste 100
Hamburg Twp, MI 48189
Phone (810) 893-7623

Interoperability endpoints

  • Direct secure messaging: rutva.bharat.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1669222014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PARKLAND PLZ STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036208",
            "telephone_number": "734-222-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PARKLAND PLZ STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481036208",
            "telephone_number": "734-222-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELWADIA",
        "first_name": "RUTVA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303609",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.