Individual provider Active NPI

Muralidhar Ganji, MSPT

  • Physical Therapist
  • Muncie, IN
National Provider Identifier
1053536607
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05009008A Issued in IN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200624002060 IN Practitioner - Physical Therapist in Private Practice 6800218694 Reassigns benefits to 2 organizations

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
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians

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

LicenseStateTypeSpecialty
05009008AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Jun 25, 2023 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.

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.

Verify at the official NPI Registry.