KRISHNA LATHA MITTAPELLI PT
NPI 1942704572
Physical Therapist - Geriatrics in Detroit, MI

Q: What is Krishna Mittapelli's NPI number?

The NPI number for Krishna Mittapelli is 1942704572. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Q: What is Krishna Mittapelli's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Active since March 20, 2018Accepts Medicare Assignment

6700 W OUTER DR, DETROIT, MI 48235(313) 836-1700 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Krishna Latha Mittapelli Pt NPPES

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

KRISHNA LATHA MITTAPELLI PT (NPI 1942704572) is an individual geriatrics provider in Detroit, Michigan and active in the NPI registry since March 2018. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1942704572

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameKRISHNA LATHA MITTAPELLICredential: PT

Location Address6700 W OUTER DRDetroit, MI 48235-2724

Mailing Address4381 Willow Creek DrTroy, MI 48085-5727 · (419) 215-0503

Phone(313) 836-1700

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 20, 2018

✔ NPI 1942704572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

6700 W OUTER DR, Detroit, MI 48235

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krishna Latha Mittapelli Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294120671

PECOS Enrollment IDI20220322000959

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Other Providers at the Same Location NPPES 20

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

MAYA LUBUS

Nurse Practitioner (Family)