Healthcare Provider Details

I. General information

NPI: 1982765269
Provider Name (Legal Business Name): DEEPAK A. SARDEY P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54750 MOUND RD
SHELBY TOWNSHIP MI
48316-1706
US

IV. Provider business mailing address

1500 WEISS STREET
SAGINAW MI
48602
US

V. Phone/Fax

Practice location:
  • Phone: 586-677-5574
  • Fax: 586-677-5578
Mailing address:
  • Phone: 989-497-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number5501005868
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number5501005868
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number5501005868
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number5501005868
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: