Individual provider Active NPI

Vibhawari Deshpande, DPT

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1679315667
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1600 S Canton Center Rd Ste 330
Canton, MI 48188-6277
Phone
(734) 398-7500
NPI assigned
Jun 10, 2024
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 NU Primary

Addresses

Primary practice location

1600 S Canton Center Rd Ste 330
Canton, MI 48188-6277

Mailing address

28788 Piedmont Dr
Farmington Hills, MI 48331-2329

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731001140 MI Practitioner - Physical Therapist in Private Practice 4789121435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

180 S Lilley Rd
Canton, MI 48188-1400
Phone (734) 398-0668

3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Probility Therapy Services Physical Therapist CurrentSince Jun 18, 2024 Accepting new patients
Probility Therapy Services CurrentSince Jun 18, 2024 Accepting new patients

Locations

1600 S Canton Center Rd
Ste 330
Canton, MI 48188
Phone (734) 398-7500

3075 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 528-9760

3145 W Clark Rd
Ste 102
Ypsilanti, MI 48197
Phone (734) 528-9760

3145 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 528-9760

Organizations & group practices 2

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1679315667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28788 PIEDMONT DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S CANTON CENTER RD STE 330",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481886277",
            "telephone_number": "734-398-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHPANDE",
        "first_name": "VIBHAWARI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

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