Individual provider Active NPI

Santoshkumar D Gandhi, RPT

  • Physical Therapist
  • High Point, NC
National Provider Identifier
1649374836
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
55010123G1 Issued in MI
Practice address
1022 Hutton LN
Suite 110
High Point, NC 27262-7159
Phone
(336) 886-1111
Fax
(336) 886-1131
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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 55010123G1 MI Primary

Addresses

Primary practice location

1022 Hutton LN
Suite 110
High Point, NC 27262-7159

Mailing address

1022 Hutton LN
Suite 110
High Point, NC 27262-7159
Phone (336) 886-1111

Other identifiers 2

IdentifierTypeStateIssuer
P12561OtherNCSTATE OF NORTH CAROLINA
P25250001OtherWPS MEDICARE PART B

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
55010123G1MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
U.S. Rehabilitation Services Inc Physical Therapist CurrentSince Oct 11, 2010 Accepting new patients
Lakeshore Spine and Pain PC Past Accepting new patients
Georgia Rehab Services, Inc. PastSince Apr 30, 2003 Accepting new patients
Allegiance Home Health Care, Inc. Past Accepting new patients

Locations

5511 W US Highway 10
Ste B
Ludington, MI 49431
Phone (989) 772-7755

4150 225th Ave
Ste C
Reed City, MI 49677
Phone (231) 832-5001

1022 Hutton Ln
Ste 110
High Point, NC 27262
Phone (336) 886-1111

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1649374836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 HUTTON LN",
            "address_2": "SUITE 110",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627159",
            "telephone_number": "336-886-1111",
            "fax_number": "336-886-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 HUTTON LN",
            "address_2": "SUITE 110",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627159",
            "telephone_number": "336-886-1111",
            "fax_number": "336-886-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SANTOSHKUMAR",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "55010123G1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NORTH CAROLINA",
            "identifier": "P12561",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS MEDICARE PART B",
            "identifier": "P25250001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.