Physical Therapist
MARIVENKATESH BALAMANICKAM
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1417101080 · enumerated 2008-11-10 · record updated 2008-11-10. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 235 E MAIN ST, SUITE 104, NORTHVILLE, MI, 48167-2494 Google Maps Apple Maps OpenStreetMap
- Practice location 235 E MAIN ST, SUITE 104, NORTHVILLE, MI, 48167-2494 (248) 349-5050 Google Maps Apple Maps OpenStreetMap
Specialties
- Physical Therapist 225100000X · Primary · License 5501013805 MI
In this directory
Locations and evidence
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Practice location
NORTHVILLE, MI, 481672494
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.