Individual provider Active NPI

Jacob Centala, DPT

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1821628090
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019437 Issued in MI
Practice address
31815 8 Mile Rd
Livonia, MI 48152-4216
Phone
(231) 923-6349
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 5501019437 MI Primary

Addresses

Primary practice location

31815 8 Mile Rd
Livonia, MI 48152-4216

Mailing address

31815 8 Mile Rd
Livonia, MI 48152-4216
Phone (231) 923-6349

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130000142 MI Practitioner - Physical Therapist in Private Practice 2567898174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince May 2, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 24, 2021 Accepting new patients
Plymouth Physical Therapy Specialists Limited Partnership Physical Therapist PastSince Aug 16, 2024 Accepting new patients
Michigan Rehab and Performance PastSince Jan 26, 2025 Accepting new patients

Locations

16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867

485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110

32270 Telegraph Rd
Ste 220A
Bingham Farms, MI 48025
Phone (248) 480-9090

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

16846 Newburgh Rd
Livonia, MI 48154
Phone (734) 245-0930

Organizations & group practices 5

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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1821628090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31815 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524216",
            "telephone_number": "231-923-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31815 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524216",
            "telephone_number": "231-923-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTALA",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019437",
            "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 Jan 21, 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.