Active NPI
Muralidhar Ganji, MSPT
- Physical Therapist
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05009008A
- Practice address
- 5410 W Keller Rd
# 6, Millpond Apartments
Muncie, IN 47304-8887 - Phone
- (203) 843-8318
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009008A | IN | Primary |
Addresses
Primary practice location
5410 W Keller Rd
# 6, Millpond Apartments
Muncie, IN 47304-8887
Mailing address
5410 W Keller Rd
# 6, Millpond Apartments
Muncie, IN 47304-8887
Phone (203) 843-8318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10255 Broadway
Crown Point, IN 46307-8001
Phone (219) 213-9220
1300 Vale Park Rd
Valparaiso, IN 46383-2722
Phone (219) 786-2123
1675 W 7TH St
Cortlyn at Astral at Auburn
Auburn, IN 46706-2084
Phone (260) 619-7060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009008A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Cortlyn Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
1675 W 7th St
Auburn, IN 46706
Phone (260) 247-6632
101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436
Organizations & group practices 4
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.
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- NPI 1023618956
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053536607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 W KELLER RD",
"address_2": "# 6, MILLPOND APARTMENTS",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473048887",
"telephone_number": "203-843-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 W KELLER RD",
"address_2": "# 6, MILLPOND APARTMENTS",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473048887",
"telephone_number": "203-843-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANJI",
"first_name": "MURALIDHAR",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05009008A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.