Individual provider Active NPI

Rajasingh Johnson, DPT, COMPT

  • Physical Therapist
  • Southgate, MI
National Provider Identifier
1831146828
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008675 Issued in MI
Practice address
13245 Northline Rd
Southgate, MI 48195-1070
Phone
(734) 246-2130
Fax
(734) 246-2130
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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 5501008675 MI Primary

Addresses

Primary practice location

13245 Northline Rd
Southgate, MI 48195-1070

Mailing address

13245 Northline Rd
Southgate, MI 48195-1070
Phone (734) 246-2130

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001323 MI Practitioner - Physical Therapist in Private Practice 6901890755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13245 Northline Rd
Southgate, MI 48195-1070
Phone (734) 246-2130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Home Care, Inc. Current Accepting new patients
Active Therapy Services Inc Physical Therapist CurrentSince May 1, 2006 Accepting new patients
Woodhaven of Livonia CurrentSince Oct 27, 2024 Accepting new patients
Johnson Care Inc Physical Therapist Past Accepting new patients
Rehab by Design, PLC PastSince Apr 6, 2023 Accepting new patients

Locations

29667 Wentworth St
Livonia, MI 48154
Phone (734) 261-9000

13245 Northline Rd
Southgate, MI 48195
Phone (734) 246-2130

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1831146828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13245 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951070",
            "telephone_number": "734-246-2130",
            "fax_number": "734-246-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13245 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951070",
            "telephone_number": "734-246-2130",
            "fax_number": "734-246-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RAJASINGH",
        "name_prefix": "Mr.",
        "credential": "DPT, COMPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.