Organization Active NPI

Total Care Physical Therapy & Rehabilitation, Inc

  • Rehabilitation Clinic/Center
  • Detroit, MI
National Provider Identifier
1669479564
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
TOTAL CARE PHYSICAL THERAPY & REHABILITATION, INC
Practice address
17950 Woodward Ave
2ND Floor
Detroit, MI 48203-2260
Phone
(313) 865-5200
Fax
(313) 865-5300
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Vijay Mishra, O.T.NPI 1003023466
Title
Alternate Administrator, OT
Phone
(586) 872-5133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X MI Primary

Addresses

Primary practice location

17950 Woodward Ave
2ND Floor
Detroit, MI 48203-2260

Mailing address

17950 Woodward Ave
2ND Floor
Detroit, MI 48203-2260
Phone (313) 865-5200

Other identifiers 4

IdentifierTypeStateIssuer
P-63118OtherMABLUE CARE NETWORK
P-236731OtherMIHAP
30695OtherMABCBS OF MICHIGAN
5274758OtherMAAETNA

National Provider Directory

National Provider Directory

Locations

17950 Woodward Ave
Fl 2
Detroit, MI 48203
Phone (313) 865-5200

17950 Woodward Ave
#2
Detroit, MI 48203
Phone (313) 865-5200

950 N Cass Lake Rd
Ste 102
Waterford, MI 48328
Phone (248) 738-1008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669479564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17950 WOODWARD AVE",
            "address_2": "2ND FLOOR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032260",
            "telephone_number": "313-865-5200",
            "fax_number": "313-865-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17950 WOODWARD AVE",
            "address_2": "2ND FLOOR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482032260",
            "telephone_number": "313-865-5200",
            "fax_number": "313-865-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE PHYSICAL THERAPY & REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR, OT",
        "authorized_official_telephone_number": "586-872-5133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P-63118",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "P-236731",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "30695",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5274758",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.