Individual provider Active NPI

Yagnesh Kiritkumar Brahmbhatt, RPT

  • Physical Therapist
  • Caro, MI
National Provider Identifier
1134598048
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017434 Issued in MI
Practice address
1004 W Caro Rd
Caro, MI 48723-9221
Phone
(989) 672-8700
Fax
(800) 746-4146
NPI assigned
Sep 21, 2015
Sex
Male
Sole proprietor
No

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
62 039395NYMDPhysical Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 62 039395 NY
Physical Therapist 225100000X 5501017434 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1004 W Caro Rd
Caro, MI 48723-9221

Mailing address

1004 W Caro Rd
Caro, MI 48723-9221
Phone (989) 672-8700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2015.

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1134598048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239221",
            "telephone_number": "989-672-8700",
            "fax_number": "800-746-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239221",
            "telephone_number": "989-672-8700",
            "fax_number": "800-746-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "YAGNESH",
        "middle_name": "KIRITKUMAR",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 039395",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.