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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NISARG VYAS, PHYSICAL THERAPIST

Deactivated Sole Proprietor

NISARG VYAS, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in CANTON, Michigan. NPI 1902265747 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · CANTON, MI

This NPI has been deactivated. The record was deactivated on May 12, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1902265747
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2016 (5.2164383561644 yrs)
Last Updated
May 25, 2021
Deactivated
May 12, 2021
Licenses
5501017649 (MI)
5502004453 (MI)
Sole Proprietor
Yes

Practice Information

Address
43125 PROVIDENCE LN
CANTON, MI, 481885282
Browse MI providers · Browse ZIP 48188
Phone
7342626318
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Occupational Therapist

Other Physical Therapy Assistant Providers in CANTON, MI

Name Credential NPI
WILLIAM JAMES BRENNER MSPT 1669432688
VASUDEVAN SURYAKUMAR P.T. 1598784712
MR. RICHARD ALAN FRUITMAN MPT 1710991674
MR. JOSHUA ABIODUN OBIRI B.SC RPT 1730297839
GREGORY BARTERIAN PT, CSCS 1164518973
KORNELIS OOSTHOEK PT 1770671299
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.