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 Not confirmed with CMS for 10 years — call before visiting
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

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