Active NPI
Ishita Thakore, PT
- Physical Therapist
- Warren, MI
National Provider Identifier
1972030336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501018146
- Practice address
- 31150 Hoover Rd Ste C
Warren, MI 48093-7618 - Phone
- (586) 268-1929
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501018146 | MI | Primary |
Addresses
Primary practice location
31150 Hoover Rd Ste C
Warren, MI 48093-7618
Mailing address
44668 Bayview Ave Apt 21313
Clinton Township, MI 48038-7182
Phone (586) 256-1971
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501018146 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1972030336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44668 BAYVIEW AVE APT 21313",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480387182",
"telephone_number": "586-256-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31150 HOOVER RD STE C",
"city": "WARREN",
"state": "MI",
"postal_code": "480937618",
"telephone_number": "586-268-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKORE",
"first_name": "ISHITA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501018146",
"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 May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.