Individual provider Active NPI

Brijita Arvindbhai Pathak

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1720301658
Registry record updated May 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014589 Issued in MI
Practice address
2815 S Pennsylvania Ave
Suite # 105B
Lansing, MI 48910-3495
Phone
(989) 772-7755
Fax
(989) 772-7750
NPI assigned
Mar 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2011

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 5501014589 MI Primary

Addresses

Primary practice location

2815 S Pennsylvania Ave
Suite # 105B
Lansing, MI 48910-3495

Mailing address

5511 W US Highway 10
Suite # B
Ludington, MI 49431-2455
Phone (989) 772-7755

Other identifiers 1

IdentifierTypeStateIssuer
5501014589OtherMISTATE OF MICHIGAN

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
U.S. Rehabilitation Services Inc Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1267833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304812800000",
    "number": "1720301658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 W US HIGHWAY 10",
            "address_2": "SUITE # B",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494312455",
            "telephone_number": "989-772-7755",
            "fax_number": "989-772-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "SUITE # 105B",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103495",
            "telephone_number": "989-772-7755",
            "fax_number": "989-772-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "BRIJITA",
        "middle_name": "ARVINDBHAI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-06",
        "last_updated": "2011-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5501014589",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2011; 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.