Carrie Bashista, PTA
Physical Therapy Assistant in Novi, MI. Individual provider (NPI-1).
NPI number1306572987
StatusActive
Last updated in NPPESJul 27, 2022
Details
- NPI
- 1306572987
- Entity type
- Individual (NPI-1)
- Name
- Carrie Bashista
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2022
- Certification date
- Jul 25, 2022
- Last updated
- Jul 27, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 5502000422 | MI | Yes |
Practice location
42400 W 12 Mile RdNovi, MI 48377-3015
Phone 734-386-0804
Mailing address
37503 Ladywood StLivonia, MI 48154-1446
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Novi, MI
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All 26 Physical Therapy Assistant providers in Novi · All 8,418 providers in Novi
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