Individual provider Active NPI

Venkatesh Angara, PT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1366776213
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013021 Issued in MI
Practice address
1663 Stephenson Hwy
Troy, MI 48083-2169
Phone
(248) 327-6619
NPI assigned
Sep 24, 2009
Last updated
Jan 8, 2019By the provider in NPPES
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 5501013021 MI Primary

Addresses

Primary practice location

1663 Stephenson Hwy
Troy, MI 48083-2169

Mailing address

23802 Brownstown Square Dr
Apt 201
Brownstown, MI 48174-9394
Phone (203) 285-5888

Other practice location 1

35746 Harper Ave
Clinton Twp, MI 48035-3212
Phone (586) 791-9203

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013021MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Group, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1366776213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23802 BROWNSTOWN SQUARE DR",
            "address_2": "APT 201",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481749394",
            "telephone_number": "203-285-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832169",
            "telephone_number": "248-327-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35746 Harper Ave",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480353212",
            "country_code": "US",
            "telephone_number": "586-791-9203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGARA",
        "first_name": "VENKATESH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013021",
            "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.