Libin Vaidyan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501021628 Issued in MI

Practice address

1555 South Blvd E Ste 120
Rochester Hills, MI 48307-5624

Phone

(248) 267-5650

NPI assigned

Feb 16, 2022

Last updated

Feb 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  NPD (past)

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1700531092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49633 LAKEBRIDGE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483153512",
            "telephone_number": "586-718-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOUTH BLVD E STE 120",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075624",
            "telephone_number": "248-267-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYAN",
        "first_name": "LIBIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501021628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Uphaus, RN
• Nichole Urban, MD
• Steven Richard Ureel
• Katherine Hillman Urek
• Steven P Utecht, DDS
• Jenna Valentin, RN
• Megan Taylor Valore
• Hannah Valota, PT, DPT, AT, ATC
• Bonnie Jean Van Megroet, INTERN, LPC
• Brian Z Van Rooyen, DDS

• Physical Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.