Individual provider Active NPI

Preeti S Vakhariya, PT

  • Physical Therapist
  • Howard City, MI
National Provider Identifier
1861418634
Registry record updated Nov 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008672 Issued in MI
Practice address
7762 North Federal Rd
Howard City, MI 49329
Phone
(231) 937-8485
Fax
(231) 937-9836
NPI assigned
Jul 14, 2006
Last updated
Nov 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501008672 MI Primary
Geriatric Physical Therapist 2251G0304X 5501008672 MI
Neurology Physical Therapist 2251N0400X 5501008672 MI
Sports Physical Therapist 2251S0007X 5501008672 MI
Orthopedic Physical Therapist 2251X0800X 5501008672 MI

Addresses

Primary practice location

7762 North Federal Rd
Howard City, MI 49329

Mailing address

7762 North Federal Rd
P.0.Box 256
Howardcity, MI 49329
Phone (231) 937-8485

Other identifiers 1

IdentifierTypeStateIssuer
650E900150OtherMIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000045 MI Practitioner - Physical Therapist in Private Practice 3870538044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Care Physical Therapy IncGroup PAC ID 4082659248, 2 clinicians

Practice addresses (Care Compare)

7762 Federal Rd
Howard City, MI 49329-5100
Phone (231) 937-8485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501008672MIMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Care Physical Therapy Inc Physical Therapist CurrentSince Jan 25, 2005 Accepting new patients
Selectcare Physical Therapy Services Physical Therapist Past Accepting new patients

Locations

7762 Federal Rd
Howard City, MI 49329
Phone (231) 937-8485

7762 Federal Rd
#P0
Howard City, MI 49329

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1861418634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7762 NORTH FEDERAL RD",
            "address_2": "P.0.BOX 256",
            "city": "HOWARDCITY",
            "state": "MI",
            "postal_code": "49329",
            "telephone_number": "231-937-8485",
            "fax_number": "231-937-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7762 NORTH FEDERAL RD",
            "city": "HOWARD CITY",
            "state": "MI",
            "postal_code": "49329",
            "telephone_number": "231-937-8485",
            "fax_number": "231-937-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKHARIYA",
        "first_name": "PREETI",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008672",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501008672",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "5501008672",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MI",
            "license": "5501008672",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501008672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "650E900150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; 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.