Individual provider Active NPI

Varsha K Desai, PT

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1982805529
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004969 Issued in MI
Practice address
22777 W 11 Mile Rd
Southfield, MI 48033-2152
Phone
(248) 386-5336
Fax
(248) 386-5378
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 5501004969 MI Primary

Addresses

Primary practice location

22777 W 11 Mile Rd
Southfield, MI 48033-2152

Mailing address

22777 W 11 Mile Rd
Southfield, MI 48033-2152
Phone (248) 386-5336

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwillner365576@direct.hfhs.org
Direct Messaging Address vdesai16320@direct.hfhs.org

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

LicenseStateTypeSpecialty
5501004969MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Rehab LLC Past Accepting new patients

Organizations & group practices 1

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1982805529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22777 W 11 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332152",
            "telephone_number": "248-386-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 W 11 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332152",
            "telephone_number": "248-386-5336",
            "fax_number": "248-386-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "VARSHA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwillner365576@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vdesai16320@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "22777 W 11 Mile Rd",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480332152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.