Individual provider Active NPI

Zalak P Desai, PT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1699326454
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017800 Issued in MI
Practice address
1568 Lake Lansing Rd Ste B
Lansing, MI 48912-3707
Phone
(517) 483-2734
NPI assigned
Sep 24, 2019
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 5501017800 MI Primary

Addresses

Primary practice location

1568 Lake Lansing Rd Ste B
Lansing, MI 48912-3707

Mailing address

1568 Lake Lansing Rd Ste B
Lansing, MI 48912-3707

Other identifiers 1

IdentifierTypeStateIssuer
5501017800OtherMISTATE PT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zalakd@rehabprosofmichigan.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240403002476 CA Practitioner - Physical Therapist in Private Practice 4981038916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Hills Orthopedic and Sports Physical Therapy IncGroup PAC ID 1052437209, 13 clinicians

Practice addresses (Care Compare)

2680 S White Rd
Suite 200
San Jose, CA 95148-2079
Phone (408) 274-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Hills Orthopedic and Sports Physical Therapy Inc. Physical Therapist CurrentSince Feb 13, 2024 Accepting new patients
Vein Center at Allure Medical Spa, PLLC CurrentSince Feb 1, 2020 Accepting new patients
Golden Hills Orthopedic and Sports Physical Therapy Inc. Physical Therapist PastSince Feb 13, 2024 Accepting new patients

Locations

1436 California Cir
Milpitas, CA 95035
Phone (408) 274-0888

2680 S White Rd
Ste 200
San Jose, CA 95148
Phone (408) 274-0888

1568 Lake Lansing Rd
Ste B
Lansing, MI 48912
Phone (517) 483-2734

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, 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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1699326454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 LAKE LANSING RD STE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 LAKE LANSING RD STE B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123707",
            "telephone_number": "517-483-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "ZALAK",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PT LICENSE",
            "identifier": "5501017800",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zalakd@rehabprosofmichigan.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NA",
            "address_1": "1568 Lake Lansing Rd Ste B",
            "city": "Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "489123707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.