Active NPI
Chinthana Herath, RPT
- Physical Therapist
- Farmington Hills, MI
National Provider Identifier
1477725356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005918
- Practice address
- 23719 Cora Avenue.
Farmington Hills, MI 48336 - Phone
- (248) 302-3601
- NPI assigned
- Mar 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501005918 | MI | Primary |
Addresses
Primary practice location
23719 Cora Avenue.
Farmington Hills, MI 48336
Mailing address
23719 Cora Avenue.
Farmington Hills, MI 48336
Phone (248) 302-3601
Other names 1
- Mr. Herath Herath
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501005918 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412812800000",
"number": "1477725356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23719 CORA AVENUE.",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48336",
"telephone_number": "248-302-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23719 CORA AVENUE.",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "48336",
"telephone_number": "248-302-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERATH",
"first_name": "CHINTHANA",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2014-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HERATH",
"last_name": "HERATH",
"prefix": "MR.",
"credential": "RPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.