Active NPI
Nirupa Suvarna
- Geriatric Physical Therapist
- Wyandotte, MI
National Provider Identifier
1831586510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 5501014869
- Practice address
- 2210 Cora St
Apartment Number 8
Wyandotte, MI 48192-4348 - Phone
- (732) 789-0522
- NPI assigned
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 5501014869 | MI | Primary |
Addresses
Primary practice location
2210 Cora St
Apartment Number 8
Wyandotte, MI 48192-4348
Mailing address
2210 Cora St
Apartment Number 8
Wyandotte, MI 48192-4348
Phone (732) 789-0522
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014869 | MI | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1831586510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 CORA ST",
"address_2": "APARTMENT NUMBER 8",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924348",
"telephone_number": "732-789-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 CORA ST",
"address_2": "APARTMENT NUMBER 8",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924348",
"telephone_number": "732-789-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUVARNA",
"first_name": "NIRUPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MI",
"license": "5501014869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.