Active NPI
Total Care Physical Therapy & Rehabilitation, Inc
- Rehabilitation Clinic/Center
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vijay Mishra, O.T.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P-63118 | Other | MA | BLUE CARE NETWORK |
| P-236731 | Other | MI | HAP |
| 30695 | Other | MA | BCBS OF MICHIGAN |
| 5274758 | Other | MA | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Occupational Therapist
- Troy, MI
- NPI 1003023466
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.