Individual provider Active NPI

Shalini Molugu

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1407249261
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016689 Issued in MI
Practice address
130 Hampton Cir
Suite 150
Rochester Hills, MI 48307-4195
Phone
(248) 289-1127
Fax
(248) 289-1196
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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 5501016689 MI Primary

Addresses

Primary practice location

130 Hampton Cir
Suite 150
Rochester Hills, MI 48307-4195

Mailing address

130 Hampton Cir
Suite 150
Rochester Hills, MI 48307-4195

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
5501016689MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1407249261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HAMPTON CIR",
            "address_2": "SUITE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HAMPTON CIR",
            "address_2": "SUITE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074195",
            "telephone_number": "248-289-1127",
            "fax_number": "248-289-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLUGU",
        "first_name": "SHALINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.