Shrinivas G Punjabi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013572 Issued in MI

Practice address

4851 E Pickard St Ste 2600
Mount Pleasant, MI 48858-2042

Phone

(989) 775-1662

NPI assigned

Feb 26, 2018

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1972004737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 MORNING MIST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488588187",
            "telephone_number": "989-763-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 E PICKARD ST STE 2600",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582042",
            "telephone_number": "989-775-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNJABI",
        "first_name": "SHRINIVAS",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Prince, OD
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• Deborah Marie Pumarada Fernandez, MD
• Liberty Quackenbush, RDN
• Quest Diagnostics LLC Il
• Kelley Michel Raab-Butler, LMSW
• Rebecca Jean Raby, LPN
• Wendell Alan Racette, D.D.S.

• Physical Therapist in Mount Pleasant, MI
• Providers in Mount Pleasant, 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 26, 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.