Individual provider Active NPI

Purnima Johri, PT

  • Physical Therapist
  • Saginaw, MI
National Provider Identifier
1760720478
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008562 Issued in MI
Practice address
3323 Shattuck Rd Ste 2
Saginaw, MI 48603-3184
Phone
(989) 341-1919
Fax
(989) 341-1920
NPI assigned
Jan 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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 5501008562 MI Primary

Addresses

Primary practice location

3323 Shattuck Rd Ste 2
Saginaw, MI 48603-3184

Mailing address

3323 Shattuck Rd Ste 2
Saginaw, MI 48603-3184
Phone (989) 341-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140322000239 MI Practitioner - Physical Therapist in Private Practice 0749411460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Physical Therapy and Rehab PLLCGroup PAC ID 3476784372, 2 clinicians

Practice addresses (Care Compare)

3323 Shattuck Rd
Suite 2
Saginaw, MI 48603-3184
Phone (989) 341-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy and Rehab PLLC Physical Therapist CurrentSince Nov 27, 2013 Accepting new patients
Medical Procedures Center PC PastSince Nov 27, 2013 Accepting new patients

Locations

3323 Shattuck Rd
Ste 2
Saginaw, MI 48603
Phone (517) 793-2440

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": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1760720478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 SHATTUCK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033184",
            "telephone_number": "989-341-1919",
            "fax_number": "989-341-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 SHATTUCK RD STE 2",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033184",
            "telephone_number": "989-341-1919",
            "fax_number": "989-341-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHRI",
        "first_name": "PURNIMA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.