Individual provider Active NPI

Avin John Kashat, PT

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1902170699
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015773 Issued in MI
Practice address
26025 Lahser Rd FL 3
Southfield, MI 48033
Phone
(248) 663-2192
Fax
(248) 663-1901
NPI assigned
Feb 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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 5501015773 MI Primary

Addresses

Primary practice location

26025 Lahser Rd FL 3
Southfield, MI 48033

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other practice location 1

27652 Franklin Rd
Southfield, MI 48034-8200
Phone (248) 359-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630000661 MI Practitioner - Physical Therapist in Private Practice 0749405033 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Fyzpt-II FyzicalGroup PAC ID 0143767228, 3 clinicians
Michigan Fyzpt-I LLCGroup PAC ID 0941646954, 5 clinicians

Practice addresses (Care Compare)

16925 Haggerty Rd
Northville, MI 48168-3955
Phone (248) 826-5600

41430 Grand River Ave
Suite B
Novi, MI 48375-1876
Phone (248) 826-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Fyzpt-I LLC Physical Therapist CurrentSince Feb 2, 2024 Accepting new patients
Michigan Fyzpt-II Fyzical Physical Therapist CurrentSince Jul 14, 2024 Accepting new patients

Locations

16925 Haggerty Rd
Northville, MI 48168
Phone (248) 826-5600

41430 Grand River Ave
Ste B
Novi, MI 48375
Phone (248) 826-5600

Organizations & group practices 3

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": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1902170699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26025 LAHSER RD FL 3",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "248-663-2192",
            "fax_number": "248-663-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27652 Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480348200",
            "country_code": "US",
            "telephone_number": "248-359-8700",
            "fax_number": "248-359-8703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASHAT",
        "first_name": "AVIN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.