Individual provider Active NPI

Lakshmi Shankar, PT, DSCPT, OMPT,

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1235589045
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004623 Issued in MI
Practice address
325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364
Phone
(734) 763-6464
Fax
(734) 763-3715
NPI assigned
Jun 13, 2016
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 25210 FL
Physical Therapist 225100000X 5501004623 MI Primary

Addresses

Primary practice location

325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364

Mailing address

1500 E Medical Center Dr SPC 5056
Ann Arbor, MI 48109-5056
Phone (734) 936-7578

Other practice location 1

7400 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 971-2774

Other practice location 2

7400 Red Bug Lake Rd
Oviedo, FL 32765-7154
Phone (407) 971-2774

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 25210FLMDPhysical Therapist
5501004623MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235589045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR SPC 5056",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095056",
            "telephone_number": "734-936-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E EISENHOWER PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083364",
            "telephone_number": "734-763-6464",
            "fax_number": "734-763-3715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Red Bug Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657154",
            "country_code": "US",
            "telephone_number": "407-971-2774",
            "fax_number": "407-971-2776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 Red Bug Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327657154",
            "country_code": "US",
            "telephone_number": "407-971-2774",
            "fax_number": "407-971-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANKAR",
        "first_name": "LAKSHMI",
        "credential": "PT, DSCPT, OMPT,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25210",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, 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.