Krishna Latha Mittapelli, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

Practice address

6700 W Outer Dr
Detroit, MI 48235-2724

Phone

(313) 836-1700

NPI assigned

Mar 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DM Care LLCGroup PAC ID 0840617916, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• DM Care LLC

  • Physical Therapist
  • Hamtramck, MI
  • NPI 1720616824
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1942704572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 WILLOW CREEK DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855727",
            "telephone_number": "419-215-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352724",
            "telephone_number": "313-836-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAPELLI",
        "first_name": "KRISHNA",
        "middle_name": "LATHA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mira Saad Mitry, M.D.
• Panayiotis Mitsias, M.D.
• Aayush Mittal, MD
• Saachi Mittal, MD
• Vashudevan Mittal, MD
• Kimberly Mix, PA-C
• Denequa Diane Mixon, MS, TLLP
• Myra Elaine Mixon
• Shannon Mixon
• Shania Maria Mize

• Geriatric Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Geriatric Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.