Individual provider Active NPI

Sanjay Rattan

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1962612770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005875 Issued in MI
Practice address
11554 E 12 Mile Rd
Warren, MI 48093-2644
Phone
(586) 558-0185
Fax
(586) 558-7128
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5501005875 MI Primary

Addresses

Primary practice location

11554 E 12 Mile Rd
Warren, MI 48093-2644

Mailing address

957 Norcross Dr
Rochester Hills, MI 48307-4289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobility Plus Home Health Care, Inc. Current Accepting new patients
Mobility Plus Rehab Services, Inc. Current Accepting new patients
Mobility Plus Rehab Services Inc. Physical Therapist CurrentSince Feb 18, 1998 Accepting new patients
Therapeutic Solutions, Inc. PastSince Mar 1, 1998 Accepting new patients

Locations

29150 Harper Ave
Saint Clair Shores, MI 48081
Phone (586) 779-0911

11554 E 12 Mile Rd
Warren, MI 48093
Phone (586) 558-0185

5701 Chicago Rd
Ste D
Warren, MI 48092
Phone (586) 978-9850

Organizations & group practices 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962612770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 NORCROSS DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11554 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932644",
            "telephone_number": "586-558-0185",
            "fax_number": "586-558-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTAN",
        "first_name": "SANJAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.