Viswanatha Mukkamalla, PHYSICAL THERAPIST
NPI 1629572805 · Physical Therapist · Southfield, MI
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Viswanatha Mukkamalla, PHYSICAL THERAPIST is a Physical Therapist provider in Southfield, MI (NPI 1629572805).
Provider details
- NPI number
- 1629572805
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PHYSICAL THERAPIST
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
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
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 21017 Middlebelt RdFarmington Hills, MI 48336-5547Phone: (248) 476-8300
- 6535 Drake RdWest Bloomfield, MI 48322-3147Phone: (248) 592-2000
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2022-06-01
- Certified
- 2022-06-01
Frequently asked questions
- What is Viswanatha Mukkamalla's NPI number?
- Viswanatha Mukkamalla's National Provider Identifier (NPI) is 1629572805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Viswanatha Mukkamalla's specialty?
- Viswanatha Mukkamalla is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Viswanatha Mukkamalla located?
- Viswanatha Mukkamalla's practice location on file with NPPES is 17220 W 12 Mile Rd Ste 140, Southfield, MI 48076-2114.
- What is Viswanatha Mukkamalla's phone number?
- The practice phone number listed in the NPPES registry for Viswanatha Mukkamalla is (248) 281-3428.
- Does Viswanatha Mukkamalla accept Medicare?
- Viswanatha Mukkamalla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Viswanatha Mukkamalla's NPI active?
- Yes — Viswanatha Mukkamalla's NPI (1629572805) is active in the NPPES registry as of the last update on 2022-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.