Individual provider Active NPI

Mayuree Gopal Sawant, RPT

  • Physical Therapist
  • Fairview, MI
National Provider Identifier
1780187526
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018464 Issued in MI
Practice address
1390 Maple Dr
Fairview, MI 48621-8703
Phone
(734) 718-7248
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

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
5501018464MIMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018464 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1390 Maple Dr
Fairview, MI 48621-8703

Mailing address

PO Box 208
Mio, MI 48647-0208
Phone (312) 877-6152

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2018.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1780187526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "MIO",
            "state": "MI",
            "postal_code": "486470208",
            "telephone_number": "312-877-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 MAPLE DR",
            "city": "FAIRVIEW",
            "state": "MI",
            "postal_code": "486218703",
            "telephone_number": "734-718-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWANT",
        "first_name": "MAYUREE",
        "middle_name": "GOPAL",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.