Shanthi Manickam Balakrishnan

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

46000 Summit Pkwy
Canton, MI 48188-3268

Phone

(734) 398-7935

NPI assigned

May 29, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1386135069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 LIBERTY ST S",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481888007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46000 SUMMIT PKWY",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883268",
            "telephone_number": "734-398-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAKRISHNAN",
        "first_name": "SHANTHI",
        "middle_name": "MANICKAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aram A. Bagdasarian, D.D.S.
• Mahnoor Fatima Baig
• Malinda Joy Bailey
• Teri Baker, LMSW
• Maisaa Bakour
• Jacob Baldwin, DC
• Melanie Elaine Bale, APRN, FNP-BC
• Chelsea Lynn Bales, PA-C
• Linda Marie Balogh, MD
• Souheil Baltaji, DDS

• Physical Therapist in Canton, MI
• Providers in Canton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.