NPIMap

Organization Active NPI

Eastpointe Physical Therapy

  • Internal Medicine Physician
  • Clinton TWP, MI
National Provider Identifier
1013230168
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301407063 Issued in MI
Legal business name
EASTPOINTE PHYSICAL THERAPY
Practice address
42536 Hayes Rd
Suite 100
Clinton TWP, MI 48038-6766
Phone
(586) 286-9644
Fax
(586) 286-9647
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dominic A Cusumano III, M.D.
Title
President
Phone
(586) 573-6669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301407063 MI Primary

Addresses

Primary practice location

42536 Hayes Rd
Suite 100
Clinton TWP, MI 48038-6766

Mailing address

28295 Schoenherr Rd
Suite C
Warren, MI 48088-4300
Phone (586) 573-6669

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1013230168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28295 SCHOENHERR RD",
            "address_2": "SUITE C",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884300",
            "telephone_number": "586-573-6669",
            "fax_number": "576-573-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42536 HAYES RD",
            "address_2": "SUITE 100",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480386766",
            "telephone_number": "586-286-9644",
            "fax_number": "586-286-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPOINTE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "CUSUMANO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-573-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301407063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.