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

Vanita Upendra Koepke, DPT

Individual provider Physical Therapist · NPI 1679073191

Vanita Upendra Koepke, DPT is a Physical Therapist in Private Practice in Southfield, Michigan. Qualified in 2012, 14 years ago. Practices with Pryde Physical Therapy PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

26025 Lahser Rd
Southfield, MI 48033
Phone: (248) 663-2192
Fax: (248) 663-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27652 Franklin Rd, Southfield, MI 48034-8200 — (248) 359-8700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501016335 (MI)

Record details

NPI number1679073191
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 21, 2018
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Pryde Physical Therapy Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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