Individual provider Active NPI

Dhanarani Navarose, PT

  • Physical Therapy Clinic/Center
  • Westland, MI
National Provider Identifier
1669595062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501007425 Issued in MI
Practice address
7686 Cherrywood Dr
Westland, MI 48185-7695
Phone
(734) 634-0864
NPI assigned
Apr 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5501007425 MI Primary

Addresses

Primary practice location

7686 Cherrywood Dr
Westland, MI 48185-7695

Mailing address

7686 Cherrywood Dr
Westland, MI 48185-7695
Phone (734) 634-0864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080624000189 MI Practitioner - Physical Therapist in Private Practice 2062322290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501007425MIMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services, Inc. Physical Therapy Current Accepting new patients
Physical Therapy Services, Inc. Physical Therapy Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669595062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7686 CHERRYWOOD DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857695",
            "telephone_number": "734-634-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7686 CHERRYWOOD DR",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857695",
            "telephone_number": "734-634-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAROSE",
        "first_name": "DHANARANI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501007425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.