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

Mr. Ravikumar K Shukla, RPT

Individual provider Physical Therapist · NPI 1356677835

Mr. Ravikumar K Shukla, RPT is a Physical Therapist in Private Practice in Grand Rapids, Michigan. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2009
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Practice location Address checks out

751 Kenmoor Ave SE Ste # E
Grand Rapids, MI 49546-2388
Phone: (616) 954-7013
Fax: (616) 954-7014
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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 5501013597 (MI)

Record details

NPI number1356677835
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedOctober 19, 2009
Last updated in NPPESMarch 10, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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