Individual provider Active NPI

Mithlesh K Vani, PT

  • Physical Therapist
  • Clinton Township, MI
National Provider Identifier
1386882173
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014131 Issued in MI
Practice address
35746 Harper Ave
Clinton Township, MI 48035-3212
Phone
(586) 791-9203
Fax
(586) 791-9204
NPI assigned
Feb 2, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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 5501014131 MI Primary

Addresses

Primary practice location

35746 Harper Ave
Clinton Township, MI 48035-3212

Mailing address

148 Kenyon Rd
Algonac, MI 48001-1600
Phone (940) 765-2041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215000009 TX Practitioner - Physical Therapist in Private Practice 5294104113 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501014131MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jul 28, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Texas Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 9, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Oct 10, 2022 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jul 28, 2023 Accepting new patients

Locations

800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1386882173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 KENYON RD",
            "city": "ALGONAC",
            "state": "MI",
            "postal_code": "480011600",
            "telephone_number": "940-765-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35746 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353212",
            "telephone_number": "586-791-9203",
            "fax_number": "586-791-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANI",
        "first_name": "MITHLESH",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.