Shivakumar Subbarayan, RPT
NPI 1225255367ActiveIndividual· Physical Therapist· Hale, MI
Physical Therapist (RPT) with Progress Physical Therapy Inc, practicing in Hale, Michigan. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1225255367 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPT |
| Sole proprietor | No |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Feb 5, 2025 |
| Certified by provider | Feb 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | MI |
| Specialist | 174400000X | 5501008794 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Progress Physical Therapy IncHale, MI · 20 clinicians
Other Physical Therapist providers in Hale
- 1053301341