Active NPI
Ajay P Deshmukh, RPT
- Physical Therapist
- Livonia, MI
National Provider Identifier
1366912479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501004589
- Practice address
- 29270 Morlock St
Livonia, MI 48152-2044 - Phone
- (248) 476-0555
- NPI assigned
- Dec 1, 2018
- Last updated
- Dec 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501004589 | MI | Primary |
Addresses
Primary practice location
29270 Morlock St
Livonia, MI 48152-2044
Mailing address
38568 Emerald LN N
Westland, MI 48185-7636
Phone (734) 578-1941
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501004589 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543622400000",
"number": "1366912479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38568 EMERALD LN N",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857636",
"telephone_number": "734-578-1941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29270 MORLOCK ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481522044",
"telephone_number": "248-476-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHMUKH",
"first_name": "AJAY",
"middle_name": "P",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-01",
"last_updated": "2018-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501004589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.