SHIVAKUMAR SUBBARAYAN (RPT) – Physical Therapist, NPI 1225255367

SHIVAKUMAR SUBBARAYAN (RPT) is a healthcare provider. based in Hale, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials RPT. They hold a License No. 5501008794 (MI). The NPI Number for SHIVAKUMAR SUBBARAYAN (RPT) is 1225255367

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
SHIVAKUMAR SUBBARAYAN (RPT)
NPI
1225255367
Phone
(989) 728-0242
Address
3076 NORTHRIDGE RD
Enumeration Date
19 April 2007
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
3476447707
Group Practice PAC ID
5698669919
Professional Enrollment ID
I20040209001088
Address ID
MI487399277HA3076XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for SHIVAKUMAR SUBBARAYAN (RPT)

  • 3076 NORTHRIDGE RD

    HALE, MI 487399277

    Phone: (989) 728-0242

    Fax: (989) 728-1144

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040209001088IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48739)

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Provider's Procedures

SHIVAKUMAR SUBBARAYAN (RPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97001Physical therapy evaluation7876

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698669919View full group profile
NameSpecialtyState
Orthopedic SurgeryMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Sports MedicinePA
Orthopedic SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What NPI should I save for SHIVAKUMAR SUBBARAYAN (RPT)?
Save NPI 1225255367 if you need a stable reference for SHIVAKUMAR SUBBARAYAN (RPT).
Is SHIVAKUMAR SUBBARAYAN (RPT) active in the national directory?
SHIVAKUMAR SUBBARAYAN (RPT)'s public NPI profile is in an active state.
What does SHIVAKUMAR SUBBARAYAN (RPT) treat or focus on?
Patients typically see SHIVAKUMAR SUBBARAYAN (RPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place SHIVAKUMAR SUBBARAYAN (RPT)?
The snapshot lists Hale, Michigan for SHIVAKUMAR SUBBARAYAN (RPT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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