Vijayarajan Malaichamy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501008696 Issued in MI

Practice address

15876 Eagle Dr
Macomb, MI 48044-3155

Phone

(586) 909-4963

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reliable Rehabilitation

  • Physical Therapist
  • Macomb, MI
  • NPI 1548493661
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023147659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15876 EAGLE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15876 EAGLE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480443155",
            "telephone_number": "586-909-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAICHAMY",
        "first_name": "VIJAYARAJAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macomb MD Urgent Care Walk in Clinic P.C
• Macomb Prompt Care PLLC
• Macomb Prompt Care PLLC
• Macomb-Shelby Dental
• Kelly Jean Mahla, LLP, PTA
• Linda Mamou, RPH
• Sheena Manalel, LMSW
• David Robert Mandy, D.O.
• Christopher Michael Mangianti, DC
• Jonathan Stephen Mansour

• Physical Therapist in Macomb, MI
• Providers in Macomb, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.