Sanjay Thakral, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501006790 Issued in MI

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Aquatic Physical Therapy LLCGroup PAC ID 3577925627, 2 clinicians

Performance Rehab IncGroup PAC ID 2163525163, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Rehab Inc

  • Physical Therapist
  • Dearborn Heights, MI
  • NPI 1801954508
  Medicare reassignment Care Compare group NPD Authorized official
• Spine and Aquatic Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Livonia, MI
  • NPI 1346947116

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1811055502",
    "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": {
        "last_name": "THAKRAL",
        "first_name": "SANJAY",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4968677",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DN5971",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650H230480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Tackel, R.PH.
• Nada Taleb, M.A.
• Romel Tapawan
• Omar Ziad Tarabah
• Teeth & Co PLLC
• Kimberly Nicole Tharp, AGACNP
• The Arc Dearborn/Dearborn Heights
• Theracure PC
• Kendra Michelle Thorington-Fox, LPC
• Vickie Thornton

• 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.
• 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.