Mitali Hudlikar, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501301717 Issued in MI

Practice address

4800 S Saginaw St
Flint, MI 48507-2677

Phone

(240) 848-0522

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, MI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jawad a Shah, MD PC

  • Specialist
  • Flint, MI
  • NPI 1942402391
  Medicare reassignment Care Compare group NPD
• Sage Physical Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Cambridge, MD
  • NPI 1467757575

  Physical Therapist

  Medicare reassignment NPD
• Jawad a Shah MD PC

  • Durable Medical Equipment & Medical Supplies
  • Dearborn, MI
  • NPI 1114667763
  NPD
• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334
  NPD (past)
• Maryland Spine Rehab, LLC

  • Chiropractor
  • Dundalk, MD
  • NPI 1629251830
  NPD (past)
• Sports Physical Therapy of Towson, P.a.

  • Physical Therapist
  • Towson, MD
  • NPI 1770650392
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1598316432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419666",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419666",
            "telephone_number": "410-970-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S SAGINAW ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072677",
            "telephone_number": "240-848-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Martin Luther King Jr Hwy",
            "address_purpose": "LOCATION",
            "city": "Landover",
            "state": "MD",
            "postal_code": "207854016",
            "country_code": "US",
            "telephone_number": "301-341-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22599 MacArthur Blvd Ste 39",
            "address_purpose": "LOCATION",
            "city": "California",
            "state": "MD",
            "postal_code": "206193079",
            "country_code": "US",
            "telephone_number": "301-737-3400",
            "fax_number": "410-313-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDLIKAR",
        "first_name": "MITALI",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xin Huang Yang, MD
• Shihan Huang
• Yi-Wen Huang
• Cassandra Hubbard
• Gavin Huber, D.O.
• Irene Renae Hudson
• Macy Elizabeth Hudson, MD
• Brandi Huff, OTRL
• Marcy Huffman
• Paige Ann Hufnagel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.

Verify at the official NPI Registry.