Active NPI
Prathima Peachera, D.P.T
- Physical Therapist
- Saginaw, MI
National Provider Identifier
1841409596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011598
- Practice address
- 4705 Towne Centre Rd
Ste 101
Saginaw, MI 48604 - Phone
- (989) 401-5890
- Fax
- (989) 401-5892
- NPI assigned
- May 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011598 | MI | Primary |
| Physical Therapist | 225100000X | 05008285A | IN |
Addresses
Primary practice location
4705 Towne Centre Rd
Ste 101
Saginaw, MI 48604
Mailing address
61 Commerce Ave SW
Grand Rapids, MI 49503
Phone (616) 940-0660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05008285A | IN | MD | Physical Therapist |
| 5501011598 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Physicaltherapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1841409596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 COMMERCE AVE SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-940-0660",
"fax_number": "616-940-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 TOWNE CENTRE RD",
"address_2": "STE 101",
"city": "SAGINAW",
"state": "MI",
"postal_code": "48604",
"telephone_number": "989-401-5890",
"fax_number": "989-401-5892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACHERA",
"first_name": "PRATHIMA",
"name_prefix": "Dr.",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011598",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05008285A",
"primary": false
}
],
"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 Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.