Active NPI
Shankar Lakshminarayanan Krishnan, PT, DPT
- Physical Therapist
- Bloomfield Hills, MI
National Provider Identifier
1508985201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501009324
- Practice address
- 2525 S Telegraph Rd
Suite 314
Bloomfield Hills, MI 48302-0286 - Phone
- (248) 499-6441
- Fax
- (248) 977-3751
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 5501009324 | MI | Primary |
Addresses
Primary practice location
2525 S Telegraph Rd
Suite 314
Bloomfield Hills, MI 48302-0286
Mailing address
2525 S Telegraph Rd
Suite 314
Bloomfield Hills, MI 48302-0286
Phone (248) 499-6441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2525 S Telegraph Rd
Suite 314
Bloomfield Hills, MI 48302-0289
Phone (248) 499-6441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascent Physical Therapy Specialists Inc | Physical Therapist | Current | Accepting new patients |
Locations
2525 S Telegraph Rd
Ste 314
Bloomfld Hls, MI 48302
Phone (248) 499-6441
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1497015713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1508985201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 S TELEGRAPH RD",
"address_2": "SUITE 314",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020286",
"telephone_number": "248-499-6441",
"fax_number": "248-977-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S TELEGRAPH RD",
"address_2": "SUITE 314",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483020286",
"telephone_number": "248-499-6441",
"fax_number": "248-977-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "SHANKAR",
"middle_name": "LAKSHMINARAYANAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501009324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.