GAURAV MITRA
NPI 1104078443
Physical Therapist in Imlay City, MI

Active since October 17, 2008
1769 S CEDAR ST, IMLAY CITY, MI 48444(810) 724-0421(810) 721-0423 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Gaurav Mitra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAURAV MITRA (NPI 1104078443) is an individual physical therapist in Imlay City, Michigan, licensed in Michigan (5501013172) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1104078443
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameGAURAV MITRA
Location Address1769 S CEDAR STImlay City, MI 48444-1300
Mailing Address1769 S Cedar StImlay City, MI 48444-1300 · (810) 724-0421 · Fax (810) 721-0423
Fax(810) 721-0423
Sole ProprietorNo
Enumeration DateOctober 17, 2008
Last NPPES UpdateMarch 24, 2009
✔ NPI 1104078443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MI · 5501013172
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1769 S CEDAR ST, Imlay City, MI 48444

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gaurav Mitra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Gaurav Mitra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2723 S STATE ST STE 150
Ann Arbor, MI 48104
  • Reassigned Medicare billing, Michigan enrollment
  • 119 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1769 S CEDAR ST
IMLAY CITY, MI 48444
Physical Therapist
1769 S CEDAR ST
IMLAY CITY, MI 48444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaurav Mitra's NPI number?

The NPI number for Gaurav Mitra is 1104078443. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Gaurav Mitra located?

Gaurav Mitra practices at 1769 S Cedar St, Imlay City, MI 48444. The listed phone number is (810) 724-0421.

What is Gaurav Mitra's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Gaurav Mitra enrolled in Medicare?

Yes. Gaurav Mitra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gaurav Mitra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gaurav Mitra reassigns Medicare benefits to Michigan Luna Care Physical Therapy, LLC (Ann Arbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gaurav Mitra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gaurav Mitra accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Gaurav Mitra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gaurav Mitra was last updated on March 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.