Active NPI
Sami Faltas, PT
- Physical Therapist
- Grand Blanc, MI
National Provider Identifier
1205007374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501008309
- Practice address
- 1537 E Hill Rd
Ste. 400
Grand Blanc, MI 48439-5190 - Phone
- (810) 603-1100
- Fax
- (810) 603-1101
- NPI assigned
- Mar 17, 2008
- Last updated
- Jan 7, 2015
- 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 | 5501008309 | MI | Primary |
Addresses
Primary practice location
1537 E Hill Rd
Ste. 400
Grand Blanc, MI 48439-5190
Mailing address
4466 W Bristol Rd
Flint, MI 48507-3170
Phone (810) 733-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F32997 | Other | MI | BLUE SHIELD OF MICHIGAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501008309 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Rehab LLC | Past | Accepting new patients | |
| Marina Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Saint Clair Shores, MI
- NPI 1801844220
-
- Physical Therapist
- Rochester, MI
- NPI 1902875941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420588800000",
"number": "1205007374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4466 W BRISTOL RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485073170",
"telephone_number": "810-733-1200",
"fax_number": "810-733-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1537 E HILL RD",
"address_2": "STE. 400",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484395190",
"telephone_number": "810-603-1100",
"fax_number": "810-603-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALTAS",
"first_name": "SAMI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-17",
"last_updated": "2015-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501008309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MICHIGAN",
"identifier": "0F32997",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.