Ericson G Villanueva, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012802 Issued in MI

Practice address

24901 Northwestern Hwy
Suite 101
Southfield, MI 48075-2203

Phone

(248) 358-3000

Fax

(248) 358-3001

NPI assigned

May 8, 2007

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Med Care Rehab, LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1407730211
  Medicare reassignment NPD Authorized official
• Tmi East, Inc.

  dba Everactive Therapy

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment NPD
• Neuromuscular Services, PLLC

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1164635025
  NPD (past)
• Rizwan Qadir MD PC

  • Specialist
  • Sterling Heights, MI
  • NPI 1003095043
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191628800000",
    "number": "1881807741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752203",
            "telephone_number": "248-358-3000",
            "fax_number": "248-358-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY",
            "address_2": "SUITE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752203",
            "telephone_number": "248-358-3000",
            "fax_number": "248-358-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ERICSON",
        "middle_name": "G",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Medical Supply
• Conner Victory
• Vijay Walvekar Central Home Rehabilitation Services (Central Home Rehabilitation Services)
• Village Center Physical Therapy LLC
• Village Pharmacy Compounding 2 Inc
• Manuel Angel Villanueva, RN
• Isaias S Villarosa, MD
• Christina Villarreal-Pete
• Mariana Villegas Venegas
• Amanda J Villescas, RD

• Physical Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; 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.