Organization Active NPI

Individualized Physical Therapy & Rehab P.C.

  • Rehabilitation Clinic/Center
  • Canton, MI
National Provider Identifier
1932208535
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
INDIVIDUALIZED PHYSICAL THERAPY & REHAB P.C.
Practice address
44633 Joy Rd Ste 200
Canton, MI 48187-1732
Phone
(734) 710-6600
Fax
(734) 710-3002
NPI assigned
Sep 21, 2006
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Jigar C ShahNPI 1336453661
Title
Owner
Phone
(734) 710-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

44633 Joy Rd Ste 200
Canton, MI 48187-1732

Mailing address

44633 Joy Rd Ste 200
Canton, MI 48187-1732
Phone (734) 710-6600

Other identifiers 1

IdentifierTypeStateIssuer
30381OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322001862 MI Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 2668363417 Practice locations: Canton, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932208535. Details of each certification follow.

  • CCN 236846 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236846

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INDIVIDUALIZED PHYSICAL THERAPY & REHAB
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Aug 31, 2005
Last certification
Jun 18, 2019
Ownership / control type
Proprietary
Facility address
44633 Joy Road, Suite 200
Canton, MI 48187

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1555 Union Lake Rd
Commerce Township, MI 48382
Phone (248) 360-0528

8906 Commerce Rd
Ste 4
Commerce Twp, MI 48382
Phone (248) 360-0528

26621 Southfield Rd
Lathrup Village, MI 48076
Phone (248) 200-7911

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1932208535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44633 JOY RD STE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871732",
            "telephone_number": "734-710-6600",
            "fax_number": "734-710-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44633 JOY RD STE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871732",
            "telephone_number": "734-710-6600",
            "fax_number": "734-710-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALIZED PHYSICAL THERAPY & REHAB P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JIGAR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-710-6600"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30381",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.