Performance Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006790 Issued in MI

Legal business name

PERFORMANCE REHAB INC

Practice address

8565 N Silvery LN
Suite 401
Dearborn Heights, MI 48127-4517

Phone

(313) 359-9595

Fax

(313) 359-9585

NPI assigned

Dec 5, 2006

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sanjay Thakral, RPTNPI 1811055502

Title

Owner Therapist

Phone

(313) 359-9595

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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.

• Sanjay Thakral, RPT

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1811055502
  Medicare reassignment Care Compare group NPD Authorized official
• Sanjyot Ujwal Salvi

  • Physical Therapist
  • Pontiac, MI
  • NPI 1568242386
  Medicare reassignment Care Compare group NPD
• Kavita M Shah, RPT

  • Physical Therapist
  • Waterford, MI
  • NPI 1699078451
  Medicare reassignment Care Compare group NPD
• William Jesse Wachter, PT

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1609348937
  Medicare reassignment Care Compare group NPD
• Billal Bandar, DPT

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1881306843
  Medicare reassignment NPD
• Nelambari Thakral, PT, DPT

  • Physical Therapist
  • Detroit, MI
  • NPI 1952469645
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1801954508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703207",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481700994",
            "telephone_number": "313-359-9595",
            "fax_number": "313-359-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 N SILVERY LN",
            "address_2": "SUITE 401",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274517",
            "telephone_number": "313-359-9595",
            "fax_number": "313-359-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "THAKRAL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "OWNER THERAPIST",
        "authorized_official_telephone_number": "313-359-9595",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DN5971",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC BCN",
            "identifier": "650H230480",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4968677",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7505869",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhavesh Patel
• Bijal Patel, DPT
• Dylan Payne
• Jennifer Nicole Pejuan, RRT
• Joseph Rodriguez Pena, LLPC
• Personalized Nursing Light House, Inc.
• Tonya Renee Peterson
• Donald George Pethtel, D.C.
• Renee Irene Pethtel, D.C.
• Marie C Petricca, MSW ACSW CACI LMSW

• Physical Therapist in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.