Stride Physical Therapy Inc.,

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501009846 Issued in MI

Legal business name

STRIDE PHYSICAL THERAPY INC.,

Practice address

43750 Woodward Ave
Suite 103
Bloomfield Hills, MI 48302-5063

Phone

(248) 334-9003

Fax

(248) 334-9334

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Ganeshkumar Shanmugasundaram, RPTNPI 1902939895

Title

Administrator

Phone

(248) 334-9003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ganeshkumar Shanmugasundaram, RPT

  • Physical Therapist
  • Warren, MI
  • NPI 1902939895
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1154510220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43750 WOODWARD AVE",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025063",
            "telephone_number": "248-334-9003",
            "fax_number": "248-334-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43750 WOODWARD AVE",
            "address_2": "SUITE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025063",
            "telephone_number": "248-334-9003",
            "fax_number": "248-334-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDE PHYSICAL THERAPY INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SHANMUGASUNDARAM",
        "authorized_official_first_name": "GANESHKUMAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-334-9003",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501009846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Clement LLC
• Michael Anthony Stevenson, MPT
• Ronald J Stewart, D.O.
• Dayna Leigh Stone
• Thomas Michael Storen, DDS
• Rachel Strodel, RD
• Gerald Mark Stulberg, D.D.S.
• Julie Stulberg, BA, RYT
• Sue a Reid Parisi DDS PC
• Sue Shoha DDS PLLC

• Physical Therapy Clinic/Center in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.