Active NPI
Rishi Kishore, PT
- Physical Therapy Clinic/Center
- Bloomfield Hills, MI
National Provider Identifier
1881197481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Practice address
- 5075 N Adams Rd
Bloomfield Hills, MI 48304-2502 - Phone
- (601) 506-0967
- NPI assigned
- Mar 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
5075 N Adams Rd
Bloomfield Hills, MI 48304-2502
Mailing address
5075 N Adams Rd
Bloomfield Hills, MI 48304-2502
Phone (601) 506-0967
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
Interoperability endpoints
- rishi.kishore.1@24522.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520640000000",
"number": "1881197481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 N ADAMS RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042502",
"telephone_number": "601-506-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 N ADAMS RD",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483042502",
"telephone_number": "601-506-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISHORE",
"first_name": "RISHI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-10",
"last_updated": "2018-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.