Active NPI
Nehal Kothari, PT
- Physical Therapist
- Eastpointe, MI
National Provider Identifier
1922675479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501020001
- Practice address
- 17200 E 10 Mild Rd
Suite 137
Eastpointe, MI 48021 - Phone
- (269) 589-9659
- Fax
- (888) 845-5090
- NPI assigned
- Jun 4, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501020001 | MI | Primary |
Addresses
Primary practice location
17200 E 10 Mild Rd
Suite 137
Eastpointe, MI 48021
Mailing address
43285 Polo Circle
Apt #6
Sterling Heights, MI 48313
Phone (313) 420-7074
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 |
|---|---|---|---|
| 5501020001 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1922675479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43285 POLO CIRCLE",
"address_2": "APT #6",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48313",
"telephone_number": "313-420-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17200 E 10 MILD RD",
"address_2": "SUITE 137",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "48021",
"telephone_number": "269-589-9659",
"fax_number": "888-845-5090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTHARI",
"first_name": "NEHAL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501020001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.