Individual provider Active NPI

Shruti Madhav Joshi

  • Physical Therapist
  • Pontiac, MI
National Provider Identifier
1780991570
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015231 Issued in MI
Practice address
3000 Centerpoint Pkwy
Pontiac, MI 48341-3116
Phone
(248) 857-6776
Fax
(248) 857-7102
NPI assigned
Sep 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 5501015231 MI Primary

Addresses

Primary practice location

3000 Centerpoint Pkwy
Pontiac, MI 48341-3116

Mailing address

1710 Farnborough Dr
Rochester Hills, MI 48307-3548
Phone (612) 298-0886

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000

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
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Mansach Enterprises LLC CurrentSince Nov 22, 2022 Accepting new patients
Walk the Line to Sci Recovery, Inc. Physical Therapist CurrentSince Jul 1, 2011 Accepting new patients
Mansach Enterprises LLC Physical Therapist CurrentSince Nov 22, 2022 Accepting new patients

Locations

7822 Andersonville Rd
Clarkston, MI 48346
Phone (248) 684-9610

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

3000 Centerpoint Pkwy
Pontiac, MI 48341
Phone (248) 857-6776

23800 W 10 Mile Rd
Ste 193
Southfield, MI 48033
Phone (248) 827-1100

Organizations & group practices 4

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": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1780991570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 FARNBOROUGH DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073548",
            "telephone_number": "612-298-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CENTERPOINT PKWY",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483413116",
            "telephone_number": "248-857-6776",
            "fax_number": "248-857-7102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "SHRUTI",
        "middle_name": "MADHAV",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.