Kranthi Myneni, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013125 Issued in MI

Practice address

4111 S Canton Center Rd
Canton, MI 48188-2489

Phone

(734) 397-0496

NPI assigned

Feb 28, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1124529706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 S CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882489",
            "telephone_number": "734-397-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 S CANTON CENTER RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882489",
            "telephone_number": "734-397-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYNENI",
        "first_name": "KRANTHI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeline Musunga, MS OTR/L
• Sirisha Rao Muttavarapu, M.D.
• Myeyedr Optometry of Michigan, LLC
• Mykidzdoc LLC
• Mymichcare LLC
• Nadia Iqbal DDS PLC
• Kashifa Naeem, BEHAVIOR CONSULTANT
• Carlo Nagtalon
• Alexandra Nahhas, FNP-BC
• Vanessa Nahhas, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.