Individual provider Active NPI

Divya Rama Karumanchi

  • Occupational Therapist
  • West Bloomfield, MI
National Provider Identifier
1710749510
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201013737 Issued in MI
Practice address
7139 Creeks Xing
West Bloomfield, MI 48322-3504
Phone
(323) 633-2276
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201013737 MI Primary

Addresses

Primary practice location

7139 Creeks Xing
West Bloomfield, MI 48322-3504

Mailing address

7139 Creeks Xing
West Bloomfield, MI 48322-3504
Phone (323) 633-2276

Other names 1

  • Divya Yalamuri Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Feb 15, 2024 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Feb 15, 2024 Accepting new patients

Locations

7005 Pontiac Trl
West Bloomfield, MI 48323
Phone (248) 681-2476

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1710749510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7139 CREEKS XING",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223504",
            "telephone_number": "323-633-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7139 CREEKS XING",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223504",
            "telephone_number": "323-633-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUMANCHI",
        "first_name": "DIVYA",
        "middle_name": "RAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201013737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIVYA",
            "last_name": "YALAMURI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.