Mukesh Kumar Suryavanshi, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005880 Issued in MI

Practice address

404 W Nepessing St Ste a
Lapeer, MI 48446-2150

Phone

(810) 245-9400

Fax

(810) 245-9080

NPI assigned

Mar 31, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• A-One Physical Therapy and Sports Injury, Inc.

  • Physical Therapy Clinic/Center
  • Lapeer, MI
  • NPI 1396848180

  Physical Therapist

  NPD (past) Authorized official
• Wellness Care, Inc.

  • Rehabilitation Clinic/Center
  • Davison, MI
  • NPI 1639273857
  NPD (past) Authorized official
• Sunshine Home Care of Michigan, Inc.

  • Home Health Agency
  • Bingham Farms, MI
  • NPI 1619070745
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1053583013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W NEPESSING ST STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462150",
            "telephone_number": "810-245-9400",
            "fax_number": "810-245-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W NEPESSING ST STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462150",
            "telephone_number": "810-245-9400",
            "fax_number": "810-245-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYAVANSHI",
        "first_name": "MUKESH",
        "middle_name": "KUMAR",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Suminski
• Sunrise Home Care, Inc
• Superior House Calls PLLC
• Surgical Specialist PC
• Kavita Suryavanshi, OT
• Kristina Ashley Sutherby
• Lauren Christine Sutton, PA-C
• Michael Swabash, PA-C
• Swain Chiropractic Clinic
• Matthew Charles Swain, D.C.

• Physical Therapist in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.