Individual provider Active NPI

Hardik Ramjibhai Kotadia, PT

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1679076319
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014985 Issued in MI
Practice address
39031 Ironstone Dr
Sterling Heights, MI 48310-2643
Phone
(586) 322-7907
NPI assigned
Mar 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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 5501014985 MI Primary

Addresses

Primary practice location

39031 Ironstone Dr
Sterling Heights, MI 48310-2643

Mailing address

39031 Ironstone Dr
Sterling Heights, MI 48310-2643
Phone (586) 322-7907

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

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1679076319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39031 IRONSTONE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102643",
            "telephone_number": "586-322-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39031 IRONSTONE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102643",
            "telephone_number": "586-322-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTADIA",
        "first_name": "HARDIK",
        "middle_name": "RAMJIBHAI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.