Expert Care Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EXPERT CARE PHYSICAL THERAPY LLC

Practice address

6780 Rochester Rd
Troy, MI 48085-1283

Phone

(586) 764-3543

NPI assigned

Jul 3, 2023

Last updated

Jul 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kamini Komarraju, DPTNPI 1497256721

Title

Owner

Phone

(586) 764-3543

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamini Komarraju

  • Physical Therapist
  • Rochester Hills, MI
  • NPI 1497256721
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1669159422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43754 SWEETWOOD DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483144509",
            "telephone_number": "586-764-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851283",
            "telephone_number": "586-764-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT CARE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "KOMARRAJU",
        "authorized_official_first_name": "KAMINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-764-3543",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.