Active NPI
Ankita S Mali, RPT
- Physical Medicine & Rehabilitation Physician
- Lincoln Park, MI
National Provider Identifier
1376036152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 5501014946
- Practice address
- 2075 Fort St Ste 101
Lincoln Park, MI 48146-2191 - Phone
- (734) 564-1650
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- 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 Medicine & Rehabilitation Physician | 208100000X | 5501014946 | MI | Primary |
Addresses
Primary practice location
2075 Fort St Ste 101
Lincoln Park, MI 48146-2191
Mailing address
2075 Fort St Ste 101
Lincoln Park, MI 48146-2191
Phone (646) 287-9633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | MI |
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 |
|---|---|---|---|
| 5501014946 | MI | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1376036152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 FORT ST STE 101",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462191",
"telephone_number": "646-287-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 FORT ST STE 101",
"city": "LINCOLN PARK",
"state": "MI",
"postal_code": "481462191",
"telephone_number": "734-564-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALI",
"first_name": "ANKITA",
"middle_name": "S",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5501014946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.