Active NPI
Vidya Murthy, P.T
- Physical Therapist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016334
- Practice address
- 29275 Northwestern Hwy Ste 150
Southfield, MI 48034-5743 - Phone
- (248) 351-6300
- NPI assigned
- Jan 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016334 | MI | Primary |
Addresses
Primary practice location
29275 Northwestern Hwy Ste 150
Southfield, MI 48034-5743
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140305001004 | MI | Practitioner - Physical Therapist in Private Practice | 8820228257 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Michigan Rehabilitation Specialists of Fowlerville LLC
Practice addresses (Care Compare)
29275 Northwestern Hwy 150
Ati Physical Therapy
Southfield, MI 48034-5743
Phone (248) 351-6300
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016334 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
425 N Park Blvd
Ste 100
Lake Orion, MI 48362
Phone (248) 693-6835
1432 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 543-4886
31120 Gratiot Ave
Roseville, MI 48066
Phone (586) 541-2220
31372 Woodward Ave
Royal Oak, MI 48073
Phone (248) 591-4229
29900 Southfield Rd
Southfield, MI 48076
Phone (248) 663-0400
29275 Northwestern Hwy
Ste 150
Southfield, MI 48034
Phone (248) 351-6300
5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560
Organizations & group practices 3
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.
-
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
MI, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Lake Orion, MI
- NPI 1356966683
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1194148148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29275 NORTHWESTERN HWY STE 150",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345743",
"telephone_number": "248-351-6300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURTHY",
"first_name": "VIDYA",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.