Shreepal Chanduri, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013841 Issued in MI

Practice address

900 Auburn Ave
Pontiac, MI 48342-3300

Phone

(248) 333-3335

Fax

(248) 333-0276

NPI assigned

Sep 29, 2008

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

Enrolled in MI

Enrollment records 1

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.

• DM Care LLC

  • Physical Therapist
  • Hamtramck, MI
  • NPI 1720616824
  Medicare reassignment NPD
• Seven Stars Physical Therapy LLC

  • Physical Therapist
  • Redford, MI
  • NPI 1902568884
  Medicare reassignment NPD
• Visiting Wound Specialists & Primary Care PLLC

  • Family Medicine Physician
  • Sterling Heights, MI
  • NPI 1760268940

  Physical Therapist

  Medicare reassignment NPD
• Concorde Rehab Inc.

  • Physical Therapy Clinic/Center
  • Troy, MI
  • NPI 1346092418
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1295985141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423300",
            "telephone_number": "248-333-3335",
            "fax_number": "248-333-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423300",
            "telephone_number": "248-333-3335",
            "fax_number": "248-333-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDURI",
        "first_name": "SHREEPAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hima Jyothi Challa, MD
• David Challender
• Chamberlain House Inc
• Meka Renee Chambers
• Marilyn Chandross, NP
• Brian Chang, D.D.S.
• James L Chang, DDS
• James W Chang
• Changdds, P.C.
• Leanne Chapman, MSW, LMSW-C

• Physical Therapist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.