Active NPI
Hitesh V Khatri
- Physical Therapist
- Northville, MI
National Provider Identifier
1629211180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501008375
- Practice address
- 48820 Wellsley CT
Northville, MI 48168-8677 - Phone
- (248) 854-0250
- Fax
- (248) 786-5391
- NPI assigned
- Apr 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501008375 | MI | Primary |
Addresses
Primary practice location
48820 Wellsley CT
Northville, MI 48168-8677
Mailing address
48820 Wellsley CT
Northville, MI 48168-8677
Phone (248) 854-0250
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 |
|---|---|---|---|
| 5501008375 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Rehab LLC | 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 Therapist
- Detroit, MI
- NPI 1336246511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1629211180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48820 WELLSLEY CT",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481688677",
"telephone_number": "248-854-0250",
"fax_number": "248-786-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48820 WELLSLEY CT",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481688677",
"telephone_number": "248-854-0250",
"fax_number": "248-786-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATRI",
"first_name": "HITESH",
"middle_name": "V",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-14",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501008375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.