Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Pankaj Mamtora, R.P.T.

Physical Therapist in Southfield, MI · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104123561

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Registry record

Entity type Individual (Type 1)

Name Mr. Pankaj Mamtora

Credential R.P.T.

Sex Male

Practice address 26400 W 12 Mile Rd Ste 25, Southfield, MI, 48034

Phone (248) 565-4000

Fax (248) 565-4030

Enumeration date Feb 22, 2011

Last updated in NPPES May 2, 2019

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 5501014195 (MI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Pankaj Mamtora practice?

The practice location on file with NPPES is in Southfield, MI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Pankaj Mamtora?

The National Provider Identifier (NPI) for Pankaj Mamtora is 1104123561, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-02.