Individual provider Active NPI

Malini Prem Thadani, PT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1942221684
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25359 Issued in CA
Practice address
38 Gordon Dr
Troy, MI 48098-4615
Phone
(415) 235-9273
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25359 CA Primary
Physical Medicine & Rehabilitation Physician 208100000X PT25359 CA

Addresses

Primary practice location

38 Gordon Dr
Troy, MI 48098-4615

Mailing address

38 Gordon Dr
Troy, MI 48098-4615
Phone (415) 235-9273

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

LicenseStateTypeSpecialty
PT25359CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schoenstein Physical Therapy and Worker Selection Testing Inc. Physical Therapist PastSince Apr 1, 2002 Accepting new patients
Reitman Physical Therapy Physical Therapist Past Accepting new patients
Hand Rehab Associates, Inc. Past Accepting new patients
Samasta Services Inc Physical Therapist PastSince Oct 1, 2014 Accepting new patients
Kokila Patel, Inc Physical Therapist PastSince Jun 7, 2014 Accepting new patients

Organizations & group practices 5

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1942221684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 GORDON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984615",
            "telephone_number": "415-235-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 GORDON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984615",
            "telephone_number": "415-235-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THADANI",
        "first_name": "MALINI",
        "middle_name": "PREM",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25359",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "PT25359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.