Dynasty Physical Therpay and Rehabilitation, PC
NPI 1902085418ActiveOrganization· Physical Therapist· Detroit, MI
Physical Therapist in Detroit, Michigan, registered in NPPES in October 2007. The authorized official on file is Tariq J. Siddiqi, PT, Owner.
Overview
| NPI | 1902085418 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 31, 2007 |
| Last updated in NPPES | Oct 31, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501011025 | MI |
| Occupational Therapist | 225X00000X | 5201006743 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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