Sridhar Pakiru, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012584 Issued in MI

Practice address

33000 Annapolis St Ste 210
Wayne, MI 48184-2920

Phone

(734) 467-4134

Fax

(734) 467-4699

NPI assigned

Mar 4, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Oakwood Healthcare Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1033128178
  NPD (past)

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1861884561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33000 ANNAPOLIS ST STE 210",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842920",
            "telephone_number": "734-467-4134",
            "fax_number": "734-467-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33000 ANNAPOLIS ST STE 210",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481842920",
            "telephone_number": "734-467-4134",
            "fax_number": "734-467-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKIRU",
        "first_name": "SRIDHAR",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-04",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5501012584",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anointing Chimdinma Onuoha, MD
• Melia Osmulski
• Randi Oswald, LMT
• Matthew J Ouellette, DO
• Erma Owens, R.N
• Palmer LTC Pharmacy LLC
• Richard Pancioli, LLP
• Doreen Doplayna Papa
• Mariela Louise Aguas Paras, RPT
• Robert German Paris, D.O.

• Physical Therapist in Wayne, MI
• Providers in Wayne, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.