Individual provider Active NPI

Kapil Dua, P.T.

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1194833269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005873 Issued in MI
Practice address
30445 Northwestern Hwy
Ste. 280
Farmington Hills, MI 48334-3158
Phone
(248) 865-7380
Fax
(248) 865-7480
NPI assigned
Aug 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5501005873 MI Primary

Addresses

Primary practice location

30445 Northwestern Hwy
Ste. 280
Farmington Hills, MI 48334-3158

Mailing address

30445 Northwestern Hwy
Ste. 280
Farmington Hills, MI 48334-3158
Phone (248) 865-7380

Other identifiers 2

IdentifierTypeStateIssuer
P00036123OtherMIMEDICARE RAILROAD
0E05734OtherMIBCBS NUMBER

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Dizziness and Balance Clinic, Inc Physical Therapist PastSince Oct 2, 2009 Accepting new patients
P.T. Plus Therapeutic Resources, Inc. Past Accepting new patients
Flex Rehablitation Inc Physical Therapist PastSince Aug 24, 1999 Accepting new patients
Aureus Home Care, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194833269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "address_2": "STE. 280",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343158",
            "telephone_number": "248-865-7380",
            "fax_number": "248-865-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "address_2": "STE. 280",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343158",
            "telephone_number": "248-865-7380",
            "fax_number": "248-865-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUA",
        "first_name": "KAPIL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501005873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00036123",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "0E05734",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.