Individual provider Active NPI

John Michael Maapni Vasquez, RPT

  • Physical Therapist
  • Redford, MI
National Provider Identifier
1720377047
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012225 Issued in MI
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

Updated by the provider on Feb 23, 2017

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 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

Enrollment IDStateProvider typePAC IDDetails
I20170222001245 MI Practitioner - Physical Therapist in Private Practice 2365726155 Reassigns benefits to 2 organizations

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
Advanced Health Alliance LLCGroup PAC ID 2860776648, 3 clinicians

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

LicenseStateTypeSpecialty
5501012225MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Alliance LLC Physical Therapist CurrentSince Nov 22, 2016 Accepting new patients
Tmi East, Inc. CurrentSince Apr 28, 2025 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.

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.

Verify at the official NPI Registry.