Ambika Kunnath Puliyakote, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010907 Issued in MI

Practice address

5570 Whittaker Rd
Ypsilanti, MI 48197-9752

Phone

(734) 482-1200

Fax

(734) 402-1074

NPI assigned

Aug 27, 2017

Sex

Female

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ambika.puliyakote.p4@direct.athleticoltd.nextgenshare.com

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.

• Nrmi, LLC

  • Rehabilitation Clinic/Center
  • Livonia, MI
  • NPI 1760129365
  NPD

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

{
    "created_epoch": "1503792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624147200000",
    "number": "1346767613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17187 N LAUREL PARK DR STE 160",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522692",
            "telephone_number": "734-402-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979752",
            "telephone_number": "734-482-1200",
            "fax_number": "734-402-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIYAKOTE",
        "first_name": "AMBIKA",
        "middle_name": "KUNNATH",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-27",
        "last_updated": "2021-06-20",
        "certification_date": "2021-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Proux, LLMSW
• Andrew Lee Pruitt, MD
• Mark Duane Pruitt, LCSW
• Tisha Prusak, CRNA MS
• Psychiatry Services PLC
• Nicole Margarita Pumarada
• Emily Purdey
• James Purifoy
• Purpose Home Health Care, Inc
• Jeffrey Pustulka, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2021; 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.