Individual provider Active NPI

Manish K Patel, R.P.T

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1962678870
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010946 Issued in MI
Practice address
40686 Harmon Dr
Sterling Heights, MI 48310-1977
Phone
(248) 980-1776
Fax
(586) 314-0525
NPI assigned
May 1, 2008
Last updated
May 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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 5501010946 MI Primary

Addresses

Primary practice location

40686 Harmon Dr
Sterling Heights, MI 48310-1977

Mailing address

40686 Harmon Dr
Sterling Heights, MI 48310-1977
Phone (248) 980-1776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040908001027 MI Practitioner - Physical Therapist in Private Practice 3072589381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Institute of Rehabilitation IncGroup PAC ID 7315303138, 2 clinicians

Practice addresses (Care Compare)

28157 Dequindre Rd
Suite a
Madison Heights, MI 48071-3046
Phone (248) 292-8466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Feb 9, 2023 Accepting new patients
Divine Care Rehab Inc CurrentSince May 17, 2023 Accepting new patients
Achieve Rehab Services Physical Therapist Past Accepting new patients
Care Rehab Services, Inc. Physical Therapist PastSince Mar 15, 2002 Accepting new patients

Locations

28157 Dequindre Rd
Ste A
Madison Heights, MI 48071
Phone (248) 292-8466

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1962678870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40686 HARMON DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483101977",
            "telephone_number": "248-980-1776",
            "fax_number": "586-314-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40686 HARMON DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483101977",
            "telephone_number": "248-980-1776",
            "fax_number": "586-314-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANISH",
        "middle_name": "K",
        "credential": "R.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.