Active NPI
Sureshkumar K Shanmugavelu, PT, DPT
- Physical Therapist
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501007122
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501007122 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
| Blossom Home Health Care Agency, Inc. | Current | 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.
-
- Physical Therapist
- Midland, MI
- NPI 1629740188
-
- Physical Therapist
- Ann Arbor, MI
- NPI 1003448994
-
- Home Health Agency
- Canton, MI
- NPI 1912138892
-
- Physical Therapist
- Dearborn, MI
- NPI 1659384626
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1245508811
Physical Therapist
-
- Chiropractor
- West Bloomfield, MI
- NPI 1588832653
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.