Active NPI
Rameshbabu Balan, RPT
- Physical Therapist
- Northville, MI
National Provider Identifier
1275174781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005851
- Practice address
- 15667 Crystal Downs E
Northville, MI 48168-9639 - Phone
- (734) 773-2326
- NPI assigned
- Oct 6, 2019
- 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 | 5501005851 | MI | Primary |
Addresses
Primary practice location
15667 Crystal Downs E
Northville, MI 48168-9639
Mailing address
15667 Crystal Downs E
Northville, MI 48168-9639
Phone (734) 773-2326
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NORTHVILLE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005851 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570320000000",
"number": "1275174781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15667 CRYSTAL DOWNS E",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689639",
"telephone_number": "734-773-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15667 CRYSTAL DOWNS E",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481689639",
"telephone_number": "734-773-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAN",
"first_name": "RAMESHBABU",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-06",
"last_updated": "2019-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005851",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NORTHVILLE",
"affiliation": "N",
"address_1": "15667 Crystal Downs E",
"city": "Northville",
"state": "MI",
"country_code": "US",
"postal_code": "481689639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.