Individual provider Active NPI

Vasudevan Palaniswamy, RPT

  • Physical Therapist
  • Livonia, MI
National Provider Identifier
1689790438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005857 Issued in MI
Practice address
29510 7 Mile Rd
Livonia, MI 48152-1910
Phone
(248) 427-9525
Fax
(248) 427-9528
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

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 Therapist 225100000X 5501005857 MI Primary

Addresses

Primary practice location

29510 7 Mile Rd
Livonia, MI 48152-1910

Mailing address

49800 Parkside Dr
Northville, MI 48168-6824
Phone (248) 787-6605

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689790438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49800 PARKSIDE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686824",
            "telephone_number": "248-787-6605",
            "fax_number": "248-449-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29510 7 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521910",
            "telephone_number": "248-427-9525",
            "fax_number": "248-427-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANISWAMY",
        "first_name": "VASUDEVAN",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.