Individual provider Active NPI

Rafael Plasencia

  • Physical Therapist
  • Dexter, MI
National Provider Identifier
1669241691
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303171 Issued in MI
Practice address
7390 Dexter Ann Arbor Rd Ste B
Dexter, MI 48130-2515
Phone
(734) 580-2046
Fax
(734) 580-2135
NPI assigned
Jan 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 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 5501303171 MI Primary

Addresses

Primary practice location

7390 Dexter Ann Arbor Rd Ste B
Dexter, MI 48130-2515

Mailing address

7390 Dexter Ann Arbor Rd Ste B
Dexter, MI 48130-2515
Phone (734) 580-2046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201001933 MI Practitioner - Physical Therapist in Private Practice 6406209865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care2Cure Physical Therapy PCGroup PAC ID 8325306350, 5 clinicians

Practice addresses (Care Compare)

7390 Dexter Ann Arbor Rd
Suite B
Dexter, MI 48130-2515
Phone (734) 580-2046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303171MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care2Cure Physical Therapy PC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients

Locations

7390 Dexter Ann Arbor Rd
Ste B
Dexter, MI 48130
Phone (734) 580-2046

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1669241691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 DEXTER ANN ARBOR RD STE B",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481302515",
            "telephone_number": "734-580-2046",
            "fax_number": "734-580-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 DEXTER ANN ARBOR RD STE B",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481302515",
            "telephone_number": "734-580-2046",
            "fax_number": "734-580-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "RAFAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.