Organization Active NPI

Advance Physical Therapy and Rehab, P.C.

  • Physical Therapist
  • Cadillac, MI
National Provider Identifier
1710324280
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010841 Issued in MI
Legal business name
ADVANCE PHYSICAL THERAPY AND REHAB, P.C.
Practice address
1101 N Mitchell St Unit 16
Cadillac, MI 49601-1200
Phone
(231) 779-2526
Fax
(231) 779-6888
NPI assigned
May 24, 2013
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Authorized official

Name
Mr. Satya P Das, RPTNPI 1447696000
Title
President
Phone
(231) 884-0239

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
Physical Therapist 225100000X 5501010841 MI Primary

Addresses

Primary practice location

1101 N Mitchell St Unit 16
Cadillac, MI 49601-1200

Mailing address

1101 N Mitchell St
Cadillac, MI 49601-1200
Phone (231) 884-0239

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130819000757 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769418615 Receives reassigned benefits from 1 practitioner
Practice locations: Cadillac, MI

National Provider Directory

National Provider Directory

Locations

1039 N Mitchell St
Unit 16
Cadillac, MI 49601

1101 N Mitchell St
Cadillac, MI 49601
Phone (231) 779-2526

1101 N Mitchell St
Unit 16
Cadillac, MI 49601
Phone (231) 779-2526

4150 225th Ave
Ste C
Reed City, MI 49677
Phone (231) 832-5001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1710324280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N MITCHELL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011200",
            "telephone_number": "231-884-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MITCHELL ST UNIT 16",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496011200",
            "telephone_number": "231-779-2526",
            "fax_number": "231-779-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PHYSICAL THERAPY AND REHAB, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "SATYA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-884-0239",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.