Active NPI
Donato Robles Santos
- Physical Therapist
- Northville, MI
National Provider Identifier
1174094049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- S501005058
- Practice address
- 17709 Rolling Woods Cir
Northville, MI 48168-3500 - Phone
- (248) 722-7374
- NPI assigned
- Dec 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | S501005058 | MI | Primary |
Addresses
Primary practice location
17709 Rolling Woods Cir
Northville, MI 48168-3500
Mailing address
17709 Rolling Woods Cir
Northville, MI 48168-3500
Phone (248) 722-7374
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S501005058 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1174094049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17709 ROLLING WOODS CIR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481683500",
"telephone_number": "248-722-7374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17709 ROLLING WOODS CIR",
"city": "NORTHVILLE",
"state": "MI",
"postal_code": "481683500",
"telephone_number": "248-722-7374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "DONATO",
"middle_name": "ROBLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "S501005058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.