Individual provider Active NPI

Piyush Madani

  • Physical Therapist
  • Detroit, MI
National Provider Identifier
1063663524
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013844 Issued in MI
Practice address
6525 2ND Ave
Detroit, MI 48202-3006
Phone
(734) 837-4386
NPI assigned
Oct 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 5501013844 MI Primary

Addresses

Primary practice location

6525 2ND Ave
Detroit, MI 48202-3006

Mailing address

6525 2ND Ave
Detroit, MI 48202-3006
Phone (313) 972-4140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmadani14635@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090318000059 MI Practitioner - Physical Therapist in Private Practice 8022175181 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013844MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Endocrinologist PLLC PastSince Mar 1, 2025 Accepting new patients
Medstar Rehabilitation Inc. Physical Therapist PastSince Jun 20, 2016 Accepting new patients

Organizations & group practices 3

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": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1063663524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023006",
            "telephone_number": "313-972-4140",
            "fax_number": "313-972-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 2ND AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023006",
            "telephone_number": "734-837-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANI",
        "first_name": "PIYUSH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmadani14635@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "6525 2nd Ave",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482023006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.