Individual provider Active NPI

Sajina Maharjan

  • Physical Therapist
  • Whitmore Lake, MI
National Provider Identifier
1053907857
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019432 Issued in MI
Practice address
5056 Gallagher Blvd
Whitmore Lake, MI 48189-9378
Phone
(810) 231-3842
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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 5501019432 MI Primary

Addresses

Primary practice location

5056 Gallagher Blvd
Whitmore Lake, MI 48189-9378

Mailing address

5056 Gallagher Blvd
Whitmore Lake, MI 48189-9378
Phone (810) 231-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019432MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1053907857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 GALLAGHER BLVD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899378",
            "telephone_number": "810-231-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5056 GALLAGHER BLVD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899378",
            "telephone_number": "810-231-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHARJAN",
        "first_name": "SAJINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitmore Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.