Kaumudi Nallan Chakravarthula, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013855 Issued in MI

Practice address

31370 Harper Ave
Saint Clair Shores, MI 48082-2450

Phone

(586) 285-0545

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Complete Care Rehab LLC

  • Rehabilitation Hospital Unit
  • Saint Clair Shores, MI
  • NPI 1801844220
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1497161871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24776 W WOODSIDE CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31370 HARPER AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822450",
            "telephone_number": "586-285-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLAN CHAKRAVARTHULA",
        "first_name": "KAUMUDI",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Nabozny, MA, LLC
• Anne M. Nachazel, M.D.
• Jeffery Scott Nagel
• Nayna S Nagrecha, MD
• Noura Najor
• Farzin Reza Namei, MD
• Amelia M Namou
• Jonathan Narr, P.T.
• Marwa Ali Nassar, MD
• Hassan Ben Nasser, M.D.

• Physical Therapist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.