Active NPI
Sivadev Kumarswamypillai, PT
- Physical Therapist
- Dearborn, MI
National Provider Identifier
1205086972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012480
- Practice address
- 4945 Schaefer Rd
Dearborn, MI 48126-3251 - Phone
- (313) 581-0744
- Fax
- (313) 581-0799
- NPI assigned
- Sep 30, 2008
- 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 | 5501012480 | MI | Primary |
Addresses
Primary practice location
4945 Schaefer Rd
Dearborn, MI 48126-3251
Mailing address
900 Auburn Ave
Pontiac, MI 48342-3300
Phone (248) 333-3335
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 |
|---|---|---|---|
| 5501012480 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1205086972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 AUBURN AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483423300",
"telephone_number": "248-333-3335",
"fax_number": "248-333-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4945 SCHAEFER RD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481263251",
"telephone_number": "313-581-0744",
"fax_number": "313-581-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMARSWAMYPILLAI",
"first_name": "SIVADEV",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501012480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.