Santhosh Krishnankutty Nair, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013030 Issued in MI

Practice address

51562 Merry LN
Shelby TWP, MI 48316-3861

Phone

(586) 219-5534

NPI assigned

Feb 17, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ark Physical Therapists LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1821840877
  NPD

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285134155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51562 MERRY LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163861",
            "telephone_number": "586-219-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51562 MERRY LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163861",
            "telephone_number": "586-219-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11525 E 10 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480893802",
            "country_code": "US",
            "telephone_number": "586-219-5534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "SANTHOSH",
        "middle_name": "KRISHNANKUTTY",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Elizabeth Mrachina, COTA/L
• Jenna Marie Mueller, COTAL
• Alicia Ann Murphy, FNP-C
• Maryam Imad Naeem, DDS
• Rosni Nair, FNP
• Ara Nazarian, DENTIST
• Daniel Ara Nazarian, DMD
• Randal Scott Neary
• New Heights Speech and Language, PLLC
• Brittany Lynn Newell, DPT

• Physical Therapist in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Physical Therapist in Michigan

• 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.