Active NPI
Vineet Kaul
- Physical Therapist
- Clarkston, MI
National Provider Identifier
1114356383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016545
- Practice address
- 7508 M E Cad Blvd
Ste. a
Clarkston, MI 48348-4281 - Phone
- (248) 922-9200
- Fax
- (248) 922-9700
- NPI assigned
- Nov 7, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501016545 | MI | Primary |
Addresses
Primary practice location
7508 M E Cad Blvd
Ste. a
Clarkston, MI 48348-4281
Mailing address
PO Box 1708
Clarkston, MI 48347-1708
Phone (248) 922-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501016545 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1114356383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1708",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483471708",
"telephone_number": "248-922-9200",
"fax_number": "248-922-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7508 M E CAD BLVD",
"address_2": "STE. A",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483484281",
"telephone_number": "248-922-9200",
"fax_number": "248-922-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUL",
"first_name": "VINEET",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.