Individual provider Active NPI

Deepika Anabheri

  • Physical Therapist
  • Center Line, MI
National Provider Identifier
1578826186
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014671 Issued in MI
Practice address
25511 Van Dyke Ave Ste 200
Center Line, MI 48015-1834
Phone
(313) 510-2183
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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 5501014671 MI Primary

Addresses

Primary practice location

25511 Van Dyke Ave Ste 200
Center Line, MI 48015-1834

Mailing address

2258 Coolidge Hwy Apt 101
Troy, MI 48084-3625
Phone (469) 432-8654

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

LicenseStateTypeSpecialty
39364CAMDDentist
5501014671MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1578826186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 COOLIDGE HWY APT 101",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843625",
            "telephone_number": "469-432-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25511 VAN DYKE AVE STE 200",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151834",
            "telephone_number": "313-510-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANABHERI",
        "first_name": "DEEPIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.