Individual provider Active NPI

Swapna Rao Lingala, DPT

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1174026975
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013903 Issued in MI
Practice address
21450 Archwood Cir
Farmington Hills, MI 48336-4127
Phone
(248) 426-6910
Fax
(248) 888-8562
NPI assigned
Mar 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5501013903 MI Primary

Addresses

Primary practice location

21450 Archwood Cir
Farmington Hills, MI 48336-4127

Mailing address

41643 Steinbeck GLN
Novi, MI 48377-2869
Phone (248) 425-9715

Other identifiers 1

IdentifierTypeStateIssuer
RFH840847198OtherILBLUE CROSS BLUE SHIELD

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
5501013903MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174026975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41643 STEINBECK GLN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772869",
            "telephone_number": "248-425-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21450 ARCHWOOD CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364127",
            "telephone_number": "248-426-6910",
            "fax_number": "248-888-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGALA",
        "first_name": "SWAPNA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RFH840847198",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.