Individual provider Active NPI

Virendrakumar Kanaiyalal Lumbhani

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1306319827
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017198 Issued in MI
Practice address
1000 John R Rd Ste 214
Troy, MI 48083-4317
Phone
(248) 629-2120
NPI assigned
Jan 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017198 MI Primary

Addresses

Primary practice location

1000 John R Rd Ste 214
Troy, MI 48083-4317

Mailing address

1000 John R Rd Ste 214
Troy, MI 48083-4317
Phone (248) 629-2120

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
5501017198MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1306319827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 214",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "248-629-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD STE 214",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834317",
            "telephone_number": "248-629-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBHANI",
        "first_name": "VIRENDRAKUMAR",
        "middle_name": "KANAIYALAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.