Individual provider Active NPI

Alka Gulati, PT

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1174041479
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
M408642 Issued in MI
Practice address
15132 Levan Rd
Livonia, MI 48154-5027
Phone
(734) 968-9206
Fax
(734) 462-1744
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 M408642 MI Primary

Addresses

Primary practice location

15132 Levan Rd
Livonia, MI 48154-5027

Mailing address

18055 Stonebrook Dr
Northville, MI 48168-4345
Phone (487) 735-0692

Other practice location 1

34815 W Michigan Ave Ste 1
Wayne, MI 48184-1895
Phone (734) 968-9206

Other identifiers 1

IdentifierTypeStateIssuer
M408642OtherMISTATE LICENSE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030001967 MI Practitioner - Physical Therapist in Private Practice 0244506673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15132 Levan Rd
Livonia, MI 48154-5027
Phone (734) 968-9206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Levan Physical Therapy PLLC Physical Therapist CurrentSince Jan 5, 2017 Accepting new patients

Locations

15132 Levan Rd
Livonia, MI 48154
Phone (734) 462-1703

34815 W Michigan Ave
Ste 1
Wayne, MI 48184
Phone (734) 389-7103

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1174041479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18055 STONEBROOK DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684345",
            "telephone_number": "487-735-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15132 LEVAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545027",
            "telephone_number": "734-968-9206",
            "fax_number": "734-462-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34815 W Michigan Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841895",
            "country_code": "US",
            "telephone_number": "734-968-9206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULATI",
        "first_name": "ALKA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "M408642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE BOARD",
            "identifier": "M408642",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.