Active NPI
Mihirkumar Balmukund Trivedi, PT, DPT
- Physical Therapist
- Dimondale, MI
National Provider Identifier
1598084501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014941
- Practice address
- 4000 N Michigan Rd
Dimondale, MI 48821-9744 - Phone
- (517) 646-6258
- NPI assigned
- Jun 1, 2010
- 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 | 5501014941 | MI | Primary |
Addresses
Primary practice location
4000 N Michigan Rd
Dimondale, MI 48821-9744
Mailing address
6846 Castleton Dr
Grand Ledge, MI 48837-8738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501014941 | Other | MI | STATE OF MI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014941 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Rehabilitation Services Inc | Physical Therapist | Past | Accepting new patients |
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 Therapy Clinic/Center
- Ludington, MI
- NPI 1730283920
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524614400000",
"number": "1598084501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6846 CASTLETON DR",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488378738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 N MICHIGAN RD",
"city": "DIMONDALE",
"state": "MI",
"postal_code": "488219744",
"telephone_number": "517-646-6258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVEDI",
"first_name": "MIHIRKUMAR",
"middle_name": "BALMUKUND",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2018-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MI",
"identifier": "5501014941",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dimondale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.