Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kishore Jeevanandam, PT

Individual provider Physical Therapist · NPI 1740578095

Kishore Jeevanandam, PT is a Physical Therapist in Private Practice in Livonia, Michigan. Qualified in 1998, 28 years ago. Practices with Therapy Consultants, PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

20319 Farmington Rd
Livonia, MI 48152-1411
Phone: (248) 476-8911
Fax: (248) 476-8913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501009887 (MI)

Record details

NPI number1740578095
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESOctober 31, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Therapy Consultants,P.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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