Kumpati Sobha, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501005839 Issued in MI

Practice address

4052 Legacy Pkwy
Suite 100
Lansing, MI 48911-4285

Phone

(517) 272-9100

Fax

(517) 272-9102

NPI assigned

Dec 31, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Holistic Manual Physical Therapy, LLC

  • Physical Therapist
  • Lansing, MI
  • NPI 1376338798
  NPD

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1184954893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 LEGACY PKWY",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 LEGACY PKWY",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114285",
            "telephone_number": "517-272-9100",
            "fax_number": "517-272-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBHA",
        "first_name": "KUMPATI",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle P Smoke
• Joshua Snell
• Heather Snow
• Jessica Snow, DH
• Terri Sober, CSW
• Corinne Soden
• Parinaz Soghrati
• Suna Soguktas
• Otto Dennis Sohn, RPH
• Raymond Glendon Sohn, DO

• Physical Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.