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Srivara Reddy Pakiru, PT, MS

Physical Therapist in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1063909752
StatusActive
Last updated in NPPESApr 18, 2018

Details

NPI
1063909752
Entity type
Individual (NPI-1)
Name
Srivara Reddy Pakiru
Credential
PT, MS
Sex
Female
Sole proprietor
No
Enumeration date
Apr 18, 2018
Last updated
Apr 18, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist5501012570MIYes

Practice location

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

Phone 734-712-5820

Mailing address

34505 W 12 Mile Rd Ste 200
Farmington Hills, MI 48331-3286

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Ypsilanti, MI

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