Provider Demographics
NPI:1396024816
Name:BHATIA, NIRALI (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:NIRALI
Middle Name:
Last Name:BHATIA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:NIRALI
Other - Middle Name:T
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2805 S INDUSTRIAL HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2805 S INDUSTRIAL HWY STE 100
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6791
Practice Address - Country:US
Practice Address - Phone:734-210-0717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0110691225X00000X
NJ46TR00551300225X00000X
MA8645225X00000X
MI5201014082225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1102Medicaid
NJ8452900991Medicare PIN
NJ8452900991Medicare NSC
NY8452900991Medicare NSC
NY1102Medicaid