Individual provider Active NPI

Gourilavanya Eswara

  • Physical Therapist
  • Harper Woods, MI
National Provider Identifier
1467987354
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
20360 E 8 Mile Rd
Harper Woods, MI 48225-1100
Phone
(313) 310-3232
NPI assigned
Apr 27, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 Primary

Addresses

Primary practice location

20360 E 8 Mile Rd
Harper Woods, MI 48225-1100

Mailing address

20360 E 8 Mile Rd
Harper Woods, MI 48225-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170512000776 MI Practitioner - Physical Therapist in Private Practice 7719264183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

329 Columbia Sr
Suite B
Algonac, MI 48001-1543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haranath Policherla M.D. PC CurrentSince May 1, 2017 Accepting new patients
Aquaticare Physical Therapy P.C CurrentSince May 1, 2017 Accepting new patients
Empower Physical Therapy and Fitness Past Accepting new patients
United Rehab Services, P.C. Physical Therapist PastSince Mar 24, 2020 Accepting new patients

Locations

15501 Metropolitan Pkwy
Ste 102
Clinton Twp, MI 48036
Phone (586) 228-7000

20554 Hall Rd
Clinton Twp, MI 48038
Phone (586) 868-7000

20160 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 882-0640

18245 E 10 Mile Rd
Ste 160
Roseville, MI 48066
Phone (313) 882-8600

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1467987354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20360 E 8 MILE RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20360 E 8 MILE RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251100",
            "telephone_number": "313-310-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESWARA",
        "first_name": "GOURILAVANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.