Individual provider Active NPI

Dhara Sukhadia

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1790132272
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017471 Issued in MI
Practice address
38777 6 Mile Rd # Mi
Suite 209
Livonia, MI 48152-2694
Phone
(888) 414-7056
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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 5501017471 MI Primary

Addresses

Primary practice location

38777 6 Mile Rd # Mi
Suite 209
Livonia, MI 48152-2694

Mailing address

37198 Manchester Dr
Apt 46
Sterling Heights, MI 48312-2360
Phone (734) 639-0594

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828000788 MI Practitioner - Physical Therapist in Private Practice 7618478017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Emeryville Dr
Cranberry Township, PA 16066-5023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017471MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

2885 10 Mile Rd NE
Rockford, MI 49341
Phone (616) 326-0010

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1790132272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37198 MANCHESTER DR",
            "address_2": "APT 46",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483122360",
            "telephone_number": "734-639-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38777 6 MILE RD # MI",
            "address_2": "SUITE 209",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522694",
            "telephone_number": "888-414-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKHADIA",
        "first_name": "DHARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.