Kenneth Peter Soave, P.T.,D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501002412 Issued in MI

Practice address

24255 W 13 Mile Rd
Suite 100
Bingham Farms, MI 48025-4320

Phone

(248) 988-8085

Fax

(248) 988-8565

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Rehabilitation Services,PC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rose City, MI
  • NPI 1669424776
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1043478134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24255 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254320",
            "telephone_number": "248-988-8085",
            "fax_number": "248-988-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24255 W 13 MILE RD",
            "address_2": "SUITE 100",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254320",
            "telephone_number": "248-988-8085",
            "fax_number": "248-988-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOAVE",
        "first_name": "KENNETH",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "P.T.,D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002412",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "MI",
            "license": "5501002412",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501002412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Snay
• Serena Snell
• Janet Burg Snider, M.D.
• Dajaih La'Nah Snorton
• Lauren Marie Snyder
• Eman Ali Sobh
• Zeinab Sobh, ED.D, LLP
• Julie Sochacki
• Ashley Soleau
• Hunter Roy Ordiz Sollestre

• Physical Therapist in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.