Active NPI
Venkatesh Narayanan
- Physical Therapist
- Warren, MI
National Provider Identifier
1689074007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016848
- Practice address
- 27534 Bristol Dr
Warren, MI 48092-3085 - Phone
- (313) 748-3797
- Fax
- (248) 336-9026
- NPI assigned
- Sep 4, 2014
- 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 | 5501016848 | MI | Primary |
Addresses
Primary practice location
27534 Bristol Dr
Warren, MI 48092-3085
Mailing address
27534 Bristol Dr
Warren, MI 48092-3085
Phone (313) 748-3797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501016848 | Other | MI | MICHIGAN PHYSICAL THERAPY LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016848 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1689074007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27534 BRISTOL DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480923085",
"telephone_number": "313-748-3797",
"fax_number": "248-336-9026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27534 BRISTOL DR",
"city": "WARREN",
"state": "MI",
"postal_code": "480923085",
"telephone_number": "313-748-3797",
"fax_number": "248-336-9026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARAYANAN",
"first_name": "VENKATESH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN PHYSICAL THERAPY LICENSE NUMBER",
"identifier": "5501016848",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.