Active NPI
Kashyapkumar Meghajibhai Nakum, RPT
- Physical Therapist
- Detroit, MI
National Provider Identifier
1144534421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014486
- Practice address
- 7004 Michigan Ave
Detroit, MI 48210-2872 - Phone
- (734) 306-2503
- Fax
- (888) 496-5550
- NPI assigned
- Jul 29, 2010
- Last updated
- Jan 31, 2024
- 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 | 5501014486 | MI | Primary |
Addresses
Primary practice location
7004 Michigan Ave
Detroit, MI 48210-2872
Mailing address
7004 Michigan Ave
Detroit, MI 48210-2872
Phone (734) 306-2503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5501014486 | Other | MI | STATE OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7004 Michigan Ave
Detroit, MI 48210-2872
Phone (517) 945-4030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014486 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Plus Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
7004 Michigan Ave
Detroit, MI 48210
Phone (313) 554-3600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Detroit, MI
- NPI 1366040859
-
- Physical Therapist
- Oak Park, MI
- NPI 1043139009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1144534421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004 MICHIGAN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482102872",
"telephone_number": "734-306-2503",
"fax_number": "888-496-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7004 MICHIGAN AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482102872",
"telephone_number": "734-306-2503",
"fax_number": "888-496-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKUM",
"first_name": "KASHYAPKUMAR",
"middle_name": "MEGHAJIBHAI",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-29",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN",
"identifier": "5501014486",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.