Ravikumar K Shukla, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013597 Issued in MI

Practice address

751 Kenmoor Ave SE
Suite # E
Grand Rapids, MI 49546-2388

Phone

(616) 954-7013

Fax

(616) 954-7014

NPI assigned

Oct 19, 2009

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Golden Inning

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1518606128
  Medicare reassignment NPD Authorized official
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Brownstown TWP, MI
  • NPI 1457868937
  Medicare reassignment NPD
• Great Lakes Carewell LLC

  • Adult Day Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1306539267
  NPD Authorized official
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1356677835",
    "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": "751 KENMOOR AVE SE",
            "address_2": "SUITE # E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462388",
            "telephone_number": "616-954-7013",
            "fax_number": "616-954-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKLA",
        "first_name": "RAVIKUMAR",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-19",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5501013597",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Showers
• Andrew B Shreiner, MD
• Paul D Shreve, MD
• Mikhail Shteynvil, M.D
• Strawberry Shuford
• Ruhi Shukla
• Janelle Marie Shuler, PT, DPT
• Shastin Shull, MD
• Christopher Shumate
• Annette Shumay

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, 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 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.