Individual provider Active NPI

Sureshkumar K Shanmugavelu, PT, DPT

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1164435145
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007122 Issued in MI
Practice address
43050 Ford Rd Ste 100
Canton, MI 48187-3374
Phone
(734) 844-9130
Fax
(734) 844-9135
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 5501007122 MI Primary

Addresses

Primary practice location

43050 Ford Rd Ste 100
Canton, MI 48187-3374

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389

Other practice location 1

29950 Telegraph Rd
Southfield, MI 48034-1355
Phone (800) 974-4378

Other practice location 2

47284 Michigan Ave
Canton, MI 48188-2582
Phone (734) 418-5237

Other practice location 3

37699 6 Mile Rd Ste 200
Livonia, MI 48152-3994
Phone (734) 953-4155

Other practice location 4

22601 Allen Rd Ste 200
Woodhaven, MI 48183-2273
Phone (734) 692-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517000629 MI Practitioner - Physical Therapist in Private Practice 8527057074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians
Benchmark Physical Therapy Michigan LLCGroup PAC ID 4880087766, 24 clinicians

Practice addresses (Care Compare)

1779 N Dixie Hwy
Monroe, MI 48162-5208
Phone (800) 974-4378

47284 Michigan Ave
Canton, MI 48188-2582
Phone (734) 418-5237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501007122MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Blossom Home Health Care Agency, Inc. CurrentSince Jun 4, 2009 Accepting new patients
Universal Health Group, Inc Physical Therapist Past Accepting new patients
Professional Physical Therapy Clinic Inc Physical Therapist Past Accepting new patients
Universal Health Group, Inc. Past Accepting new patients

Locations

24014 W Renwick Rd
Ste F
Plainfield, IL 60544
Phone (815) 577-2488

1235 S Center Rd
Burton, MI 48509
Phone (800) 977-4378

1779 N Dixie Hwy
Monroe, MI 48162
Phone (734) 289-1800

29950 Telegraph Rd
Southfield, MI 48034
Phone (248) 663-1906

Organizations & group practices 7

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1164435145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43050 FORD RD STE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873374",
            "telephone_number": "734-844-9130",
            "fax_number": "734-844-9135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29950 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341355",
            "country_code": "US",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47284 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481882582",
            "country_code": "US",
            "telephone_number": "734-418-5237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37699 6 Mile Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481523994",
            "country_code": "US",
            "telephone_number": "734-953-4155",
            "fax_number": "734-953-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22601 Allen Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481832273",
            "country_code": "US",
            "telephone_number": "734-692-4155",
            "fax_number": "734-692-4158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANMUGAVELU",
        "first_name": "SURESHKUMAR",
        "middle_name": "K",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.

Verify at the official NPI Registry.