PRALAY PATRO (NPI# 1326692187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326692187 |
| Entity Type | Individual |
| Full Name | PRALAY PATRO |
| Practice Address |
21401 Mack Ave Grosse Pointe Woods MI 48236-1048 |
| Practice Telephone | 5867780800 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
5501005973 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21401 MACK AVE |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip Code | 48236-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689641441 | Michelle Marie Trudeau | Nurse Practitioner | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2006-03-01 |
| 1194299156 | Eileen Kerrigan Furest | Speech-Language Pathologist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2019-01-13 |
| 1003388059 | Kimberly Anne Orosz | Occupational Therapist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-12-31 |
| 1518438472 | Alice Rhein | Speech-Language Pathologist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-12-17 |
| 1154892446 | Abhijitsinh Dashrathsinh Vaghela | Physical Therapist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-12-11 |
| 1083184980 | Megan Bolus | Occupational Therapist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-12-04 |
| 1972072403 | Christine Faye Crow | Occupational Therapist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-11-14 |
| 1356810873 | Brittany Barry | Speech-Language Pathologist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-11-14 |
| 1902375520 | Chandradasa Sarath Weerasinghe | Physical Therapist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-11-14 |
| 1336618958 | Jenell Marie Gaddie | Occupational Therapist | 21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048 | 2018-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652763 | Better Care Therapy Services LLC | Physical Therapist | 49872 Alden, Canton, MI 48188-2869 | 2020-02-22 |
| 1184196792 | Alicia Adams | Physical Therapist | 1690 Sweet Grass Dr Se, Caledonia, MI 49316-7309 | 2018-12-20 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1578062329 | Elizabeth Jean Ramey | Physical Therapist | 6567 Elwood Ct N, Allendale, MI 49401-8347 | 2018-02-07 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
| 1831586510 | Nirupa Suvarna | Physical Therapist | 2210 Cora St, Apartment Number 8, Wyandotte, MI 48192-4348 | 2015-04-21 |
| 1215324991 | Jais Mathews | Physical Therapist | 44660 Midway Dr, Novi, MI 48375-3953 | 2015-04-21 |
| 1558783134 | Troy Westcott | Physical Therapist | 11655 Superior St, Mohawk, MI 49950-9539 | 2014-01-15 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.