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

Mr. Pankaj Mamtora, RPT

Individual provider Physical Therapist · NPI 1104123561

Mr. Pankaj Mamtora, RPT is a Physical Therapist in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

26400 W 12 Mile Rd Ste 25
Southfield, MI 48034-1774
Phone: (248) 565-4000
Fax: (248) 565-4030
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501014195 (MI)

Record details

NPI number1104123561
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedFebruary 22, 2011
Last updated in NPPESMay 2, 2019

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