Individual provider Active NPI

Nandhi S Moorthy, DOR

  • Physical Therapist
  • Westland, MI
National Provider Identifier
1487299558
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007793 Issued in MI
Practice address
38410 Cherry Hill Rd
Westland, MI 48185-3270
Phone
(734) 326-1200
Fax
(734) 326-8305
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 5501007793 MI Primary

Addresses

Primary practice location

38410 Cherry Hill Rd
Westland, MI 48185-3270

Mailing address

38410 Cherry Hill Rd
Westland, MI 48185-3270
Phone (734) 812-9595

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
5501007793MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1487299558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38410 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853270",
            "telephone_number": "734-812-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38410 CHERRY HILL RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853270",
            "telephone_number": "734-326-1200",
            "fax_number": "734-326-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORTHY",
        "first_name": "NANDHI",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "DOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.