Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shivakumar Subbarayan, RPT

Individual provider Physical Therapist · NPI 1225255367

Shivakumar Subbarayan, RPT is a Physical Therapist in Private Practice in Hale, Michigan. Qualified in 1995, 31 years ago. Practices with Progress Physical Therapy Inc, a 23-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3076 Northridge Rd
Hale, MI 48739-9277
Phone: (989) 728-0242
Fax: (989) 728-1144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MI)
Specialist Taxonomy 174400000X · Licence 5501008794 (MI)

Record details

NPI number1225255367
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address3076 Northridge Rd, Hale, MI 48739-9277

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Progress Physical Therapy Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hale