Individual provider Active NPI

Apostolos George Kerasiotis, D.P.T.

  • Physical Therapist
  • Roseville, MI
National Provider Identifier
1124306618
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501002451 Issued in MI
Practice address
30695 Little Mack Ave Suite 600
Roseville, MI 48066-1771
Phone
(586) 294-9030
Fax
(586) 294-9033
NPI assigned
Aug 1, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501002451 MI Primary

Addresses

Primary practice location

30695 Little Mack Ave Suite 600
Roseville, MI 48066-1771

Mailing address

30695 Little Mack Ave
Suite 600
Roseville, MI 48066-1771
Phone (586) 294-9030

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Care Physical Therapy, Inc. CurrentSince Jul 2, 2023 Accepting new patients

Locations

30695 Little Mack Ave
Ste 600
Roseville, MI 48066
Phone (586) 294-9030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1124306618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK AVE",
            "address_2": "SUITE 600",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661771",
            "telephone_number": "586-294-9030",
            "fax_number": "586-294-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30695 LITTLE MACK AVE SUITE 600",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480661771",
            "telephone_number": "586-294-9030",
            "fax_number": "586-294-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERASIOTIS",
        "first_name": "APOSTOLOS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-01",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.