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

Individual provider Physical Therapy Assistant · NPI 1508315029

Shynu Varghese, PTA is a Physical Therapy Assistant in Northville, Michigan. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

17066 Boulder Dr
Northville, MI 48168-6820
Phone: (832) 419-5350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 009621 (NY)

Record details

NPI number1508315029
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedSeptember 26, 2016
Last updated in NPPESSeptember 26, 2016
Mailing address17066 Boulder Dr, Northville, MI 48168-6820

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