MEDICARE: EXCELLENT CARE PHYSICAL THERAPY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center
2	225100000X	Physical Therapist	5501009407	MI

General Provider Information

NPI Number	:	1497000830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCELLENT CARE PHYSICAL THERAPY PC

Provider Business Mailing Address
First Line	:	19145 ALLEN RD STE 110
Second Line	:
City	:	BROWNSTOWN TWP
State	:	MI
Zip	:	48183-6812
Country	:	US
Telephone Number	:	734-225-6551
Fax Number	:	734-225-6589

Provider Business Practice Location Address
First Line	:	19145 ALLEN RD
Second Line	:	SUITE 110
City	:	BROWNSTOWN TWP
State	:	MI
Zip	:	48183-6812
Country	:	US
Telephone Number	:	734-225-6551
Fax Number	:	734-225-6581

Authorized Official
Title or Position	:	OWNER
Name	:	JIGNESH DHRANGADHARIA
Credential	:	P.T.
Telephone Number	:	734-225-6551

Provider Enumeration Date	:	07/23/2012
Last Update Date	:	04/15/2026

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