Srinivasa Rao Gude, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014309 Issued in MI

Practice address

340 Ecorse Rd
Ypsilanti, MI 48198-5734

Phone

(734) 483-1000

Fax

(734) 483-1010

NPI assigned

Jul 12, 2010

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

Other identifiers 1

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.

• Michigan Spine & Joint Center P.C.

  • Chiropractor
  • Chesterfield, MI
  • NPI 1225222730

  Physical Therapist

  NPD
• Michigan Spine & Joint Center P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chesterfield, MI
  • NPI 1649464686
  NPD
• U.S. Rehabilitation Services Inc

  • Physical Therapy Clinic/Center
  • Ludington, MI
  • NPI 1730283920

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1306158985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 W US HIGHWAY 10",
            "address_2": "SUITE # B",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312455",
            "telephone_number": "231-845-0900",
            "fax_number": "231-845-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ECORSE RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985734",
            "telephone_number": "734-483-1000",
            "fax_number": "734-483-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDE",
        "first_name": "SRINIVASA",
        "middle_name": "RAO",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MI",
            "identifier": "5501014309",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Norman Gross, D.O.
• Grove Pharmacy PLLC
• Samuel Grove Sr.
• Ellen H. Gryniewicz, MD
• Max Guarda, MD
• Shawnnika Leechelle Guenther, CHW
• Guided Growth Counseling, LLC
• Rebecca Anne Guidinger, RN
• Laura Ellen Gultekin, PHD, FNP-BC
• Weixia Guo

• All providers in Ypsilanti, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.