Eastpointe Physical Therapy

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

Last updated

Mar 3, 2010By the provider in NPPES

Organization subpart

No

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.NPI 1447243779

Title

President

Phone

(586) 573-6669

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dominic A Cusumano, MD

  • Internal Medicine Physician
  • Warren, MI
  • NPI 1447243779
  Authorized official Same address or phone

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": []
}

• Denise Dyar, NP
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• Eagle Eye Counseling PLLC
• Eagle Global Services LLC (Eagle Global Day Services LLC)
• Eastes and Khanukov MD PC
• Karl Bjorn Ecklund, PA-C
• Theresa E Edwards Cowdin, CRNA
• Eldercare Support Services LLC
• Lisa Elias
• Daniel Allan Elkins, PA-C

• Internal Medicine Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Internal Medicine Physician in Michigan

• 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.