Srilaxmi Gandla, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016051 Issued in MI

Practice address

12123 Conant St
Hamtramck, MI 48212-2718

Phone

(313) 891-1500

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mini Invasive Podiatry PLCGroup PAC ID 3375876022, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lifelink Home Health Care Services, Inc.

  dba MiCare Home Health Services Inc.

  • Home Health Agency
  • Farmington Hills, MI
  • NPI 1922014760

  W-2 Managing Employee

  CMS ownership

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

• Mini Invasive Podiatry PLC

  • Foot & Ankle Surgery Podiatrist
  • Troy, MI
  • NPI 1962968719
  Medicare reassignment Care Compare group NPD
• Lifelink Home Health Care Services, Inc.

  dba MiCare Home Health Services Inc.

  • Home Health Agency
  • Farmington Hills, MI
  • NPI 1922014760
  NPD
• Mini Invasive Podiatry PLC

  • Dialysis Equipment & Supplies (DME)
  • Troy, MI
  • NPI 1700407954
  NPD

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1083967996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24865 WOODRIDGE DR APT 212",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352256",
            "telephone_number": "815-566-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 CONANT ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482122718",
            "telephone_number": "313-891-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDLA",
        "first_name": "SRILAXMI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016051",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "034869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannatul Fardawsy
• Nuzma Farheen
• Omar Yehia Fatteh, PHARMD
• Lemuel J Fisher, CHW
• Five Lakes Medical Group PLLC
• Tia Lenee Gitgood, LMSW
• Glory Pharmacy- Joseph Campau LLC (PharMor Pharmacy-Joseph Campau)
• Maria Ibrahim Gobah
• Great Smile Dental Group PC (Harris Dental)
• Group Medical Clinic PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.