Pankaj Mamtora, R.P.T.
NPI 1104123561 · Physical Therapist · Southfield, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pankaj Mamtora, R.P.T. is a Physical Therapist provider in Southfield, MI (NPI 1104123561).
Provider details
- NPI number
- 1104123561
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- R.P.T.
- Sex
- Male
- Sole proprietor
- No
- License
- 5501014195 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-22
- Last updated
- 2019-05-02
Frequently asked questions
- What is Pankaj Mamtora's NPI number?
- Pankaj Mamtora's National Provider Identifier (NPI) is 1104123561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pankaj Mamtora's specialty?
- Pankaj Mamtora is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pankaj Mamtora located?
- Pankaj Mamtora's practice location on file with NPPES is 26400 W 12 Mile Rd Ste 25, Southfield, MI 48034-1774.
- What is Pankaj Mamtora's phone number?
- The practice phone number listed in the NPPES registry for Pankaj Mamtora is (248) 565-4000.
- Does Pankaj Mamtora accept Medicare?
- Pankaj Mamtora is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pankaj Mamtora's NPI active?
- Yes — Pankaj Mamtora's NPI (1104123561) is active in the NPPES registry as of the last update on 2019-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.