Active NPI
Nirmaladevi Elumalai, P.T.
- Physical Therapist
- Southfield, MI
National Provider Identifier
1205855467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501007635
- Practice address
- 25865 W 12 Mile Rd
Suite 116
Southfield, MI 48034-1817 - Phone
- (248) 208-7492
- Fax
- (248) 208-7494
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- 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 | 5501007635 | MI | Primary |
Addresses
Primary practice location
25865 W 12 Mile Rd
Suite 116
Southfield, MI 48034-1817
Mailing address
25865 W 12 Mile Rd
Suite 116
Southfield, MI 48034-1817
Phone (248) 208-7492
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physio-Dynamics, LLC | Physical Therapist | Past | Accepting new patients |
| Michigan Therapeutic Solutions, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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
- Dearborn Heights, MI
- NPI 1952330680
-
- Physical Therapist
- Dearborn Heights, MI
- NPI 1366634560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205855467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25865 W 12 MILE RD",
"address_2": "SUITE 116",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341817",
"telephone_number": "248-208-7492",
"fax_number": "248-208-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25865 W 12 MILE RD",
"address_2": "SUITE 116",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341817",
"telephone_number": "248-208-7492",
"fax_number": "248-208-7494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELUMALAI",
"first_name": "NIRMALADEVI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501007635",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.