Individual provider Active NPI

Tania Shiva, PT

  • Physical Therapist
  • Rochester, MI
National Provider Identifier
1780353441
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019819 Issued in MI
Practice address
1050 W University Dr Suite 3 Marina Rehabilitation
Rochester, MI 48307
Phone
(248) 650-1984
Fax
(248) 650-1994
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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 5501019819 MI Primary

Addresses

Primary practice location

1050 W University Dr Suite 3 Marina Rehabilitation
Rochester, MI 48307

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220406000290 MI Practitioner - Physical Therapist in Private Practice 5294121992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rehabilitation Specialists of Fowlerville LLCGroup PAC ID 6204730393, 125 clinicians

Practice addresses (Care Compare)

2700 Orchard Lake Rd
Keego Harbor, MI 48320-1445
Phone (248) 683-0185

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019819MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Apr 13, 2022 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Apr 13, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2510 S Telegraph Rd
Ste I
Bloomfield Hills, MI 48302
Phone (248) 335-2000

42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-2845

40097 S Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 468-7612

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

12787 S Saginaw St
Ste C4
Grand Blanc, MI 48439
Phone (810) 771-7631

425 N Park Blvd
Ste 100
Lake Orion, MI 48362
Phone (248) 693-6835

4950 S Baldwin Rd
Lake Orion, MI 48359
Phone (248) 409-0576

44200 Woodward Ave
Ste 114
Pontiac, MI 48341
Phone (248) 409-3300

1350 Kirts Blvd
Ste 120
Troy, MI 48084
Phone (248) 244-7927

7715 26 Mile Rd
Washington Twp, MI 48094
Phone (248) 650-4601

5159 Highland Rd
Ste 100
Waterford, MI 48327

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1780353441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W UNIVERSITY DR SUITE 3 MARINA REHABILITATION",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-650-1984",
            "fax_number": "248-650-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVA",
        "first_name": "TANIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.