Sonam Gandhi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018966 Issued in MI

Practice address

6800 Trillium Village Dr
Clarkston, MI 48346-5208

Phone

(248) 861-2777

NPI assigned

Mar 9, 2021

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1124603360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 GOLDENEYE LN",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602532",
            "telephone_number": "313-559-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 TRILLIUM VILLAGE DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465208",
            "telephone_number": "248-861-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SONAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Physical Therapy of Clarkston
• Danielle Fusco, PA-C
• Noelle Rene Gailey, DDS
• Linda Ann Gallaher, M.A., LPC, LLP, NCC
• Lynnette Gallant, MS, LLP
• Robert Garchow, LCSW
• Kelsiana Rose Gardella, RBT
• Jordyn Nicole Gardner, CMSSW
• Kenzie Gardner, NP
• Jonathan G Garretson, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.