Nitin Jain

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013724 Issued in MI

Practice address

1201 E Michigan Ave Ste 320
Jackson, MI 49201-1854

Phone

(517) 205-7633

Fax

(517) 817-7634

NPI assigned

Aug 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: njain456156@direct.hfhs.org

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1518114792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 320",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011854",
            "telephone_number": "517-205-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E MICHIGAN AVE STE 320",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011854",
            "telephone_number": "517-205-7633",
            "fax_number": "517-817-7634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 E Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Northville",
            "state": "MI",
            "postal_code": "481672494",
            "country_code": "US",
            "telephone_number": "248-349-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIN",
        "first_name": "NITIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njain456156@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "1201 E Michigan Ave Ste 320",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492011854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miles Jackson, MD
• Ronald Duane Jackson, MALLPC
• Emily Renee Jacob
• Angela Jacobs, CNP
• Kevin F Jager, PA-C
• Jason George Jakubas, DC
• James a Taylor DO PC
• James P. Serino, O.D. P.C.
• Desiree Kay James, PTA
• Kristin Nicole James, N/A

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.