Nisarg Vyas, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017649 Issued in MI

Practice address

43125 Providence LN
Canton, MI 48188-5282

Phone

(734) 262-6318

NPI assigned

Feb 22, 2016

Reactivated

May 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Oakland Therapy LLC

  • Multi-Specialty Clinic/Center
  • West Bloomfield, MI
  • NPI 1760926679

  Physical Therapist

  Medicare reassignment NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Superior Township, MI
  • NPI 1740840602
  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  MI, Physical Therapist

  Medicare reassignment NPD
• Paxxon Healthcare Services LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1336808146
  NPD

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1902265747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43125 PROVIDENCE LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43125 PROVIDENCE LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885282",
            "telephone_number": "734-262-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYAS",
        "first_name": "NISARG",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "deactivation_date": "2021-05-12",
        "reactivation_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017649",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard L Volk, D.D.S.
• Selina Louise Volpone, PA-C
• Volumez Hair Solutions
• Duc-Tri Van Vu, DDS
• VWC, PLLC
• Kelechi Wachuku
• Michael Wade
• Nakeya Wade
• Abdul Wahid, RPT
• Mohammed Abdul Wajed

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.