Individual provider Active NPI

Ratna Sudha Karella

  • Physical Therapy Assistant
  • Madison Heights, MI
National Provider Identifier
1750911517
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502004195 Issued in MI
Practice address
27301 Dequindre Rd Ste 205
Madison Heights, MI 48071-3457
Phone
(586) 421-5174
NPI assigned
Jan 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 5502004195 MI Primary

Addresses

Primary practice location

27301 Dequindre Rd Ste 205
Madison Heights, MI 48071-3457

Mailing address

27301 Dequindre Rd Ste 205
Madison Heights, MI 48071-3457
Phone (586) 421-5174

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

LicenseStateTypeSpecialty
5502004195MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1750911517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD STE 205",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713457",
            "telephone_number": "586-421-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD STE 205",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713457",
            "telephone_number": "586-421-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARELLA",
        "first_name": "RATNA SUDHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502004195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.