Active NPI
John Michael Maapni Vasquez, RPT
- Physical Therapist
- Redford, MI
National Provider Identifier
1720377047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012225
- Practice address
- 25958 W 6 Mile Rd
Redford, MI 48240-2213 - Phone
- (313) 286-3360
- Fax
- (313) 286-3363
- NPI assigned
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012225 | MI | Primary |
Addresses
Primary practice location
25958 W 6 Mile Rd
Redford, MI 48240-2213
Mailing address
29391 Jennifer Dr
Chesterfield, MI 48051-3922
Phone (586) 489-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
395 N Groesbeck Hwy
Suite L
Mount Clemens, MI 48043-1561
Phone (586) 630-0474
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501012225 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Health Alliance LLC | Physical Therapist | Current | Accepting new patients |
| Tmi East, Inc. | Current | Accepting new patients |
Locations
395 N Groesbeck Hwy
Ste L
Mount Clemens, MI 48043
Phone (586) 630-0474
851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595
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 and National Provider Directory roles.
-
- Physical Therapist
- Mount Clemens, MI
- NPI 1467904615
-
- Rehabilitation Clinic/Center
- Saginaw, MI
- NPI 1336709252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1720377047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29391 JENNIFER DR",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480513922",
"telephone_number": "586-489-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25958 W 6 MILE RD",
"city": "REDFORD",
"state": "MI",
"postal_code": "482402213",
"telephone_number": "313-286-3360",
"fax_number": "313-286-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "JOHN MICHAEL",
"middle_name": "MAAPNI",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-07",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.