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

Madhavan Krishnamoorthy, PT

Individual provider Physical Therapist · NPI 1366621294

Madhavan Krishnamoorthy, PT is a Physical Therapist in Private Practice in Grand Blanc, Michigan. Qualified in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
32
Licensed in
MI
In the registry since
2007
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

7460 Dry Creek Dr Apt 2A
Grand Blanc, MI 48439-6313
Phone: (810) 265-3882
Fax: (810) 963-0560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501007308 (MI)

Record details

NPI number1366621294
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 27, 2007
Last updated in NPPESJanuary 2, 2024
Certification dateDecember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Blanc