Individual provider Active NPI

Sandeep Raj Naliath, PT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1821638131
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501014313 Issued in MI
Practice address
1883 E Maple Rd
Troy, MI 48083-4207
Phone
(248) 588-8881
NPI assigned
Jan 14, 2020
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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 5501014313 MI Primary

Addresses

Primary practice location

1883 E Maple Rd
Troy, MI 48083-4207

Mailing address

42596 Plum LN
Sterling Heights, MI 48314-2947
Phone (586) 344-1816

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

State licenses

LicenseStateTypeSpecialty
5501014313MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ark Physical Therapists LLC Physical Therapist CurrentSince Mar 20, 2024 Accepting new patients
Global Home Care Inc PastSince Jan 19, 2020 Accepting new patients

Locations

35654 Dequindre Rd
Sterling Heights, MI 48310
Phone (586) 722-7603

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1821638131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42596 PLUM LN",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142947",
            "telephone_number": "586-344-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 E MAPLE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834207",
            "telephone_number": "248-588-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALIATH",
        "first_name": "SANDEEP",
        "middle_name": "RAJ",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.