Individual provider Active NPI

Anupallavi Kunkala, PT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1376253757
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016733 Issued in MI
Practice address
525 E Big Beaver Rd Ste 301
Troy, MI 48083-1367
Phone
(248) 882-0764
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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 5501016733 MI Primary

Addresses

Primary practice location

525 E Big Beaver Rd Ste 301
Troy, MI 48083-1367

Mailing address

775 E Long Lake Rd
Troy, MI 48085-4845
Phone (919) 793-8115

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL webpt.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
5501016733MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1376253757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854845",
            "telephone_number": "919-793-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E BIG BEAVER RD STE 301",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831367",
            "telephone_number": "248-882-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKALA",
        "first_name": "ANUPALLAVI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "webpt.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "web pages",
            "address_1": "775 E Long Lake Rd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480854845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 28, 2022; 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.