Active NPI
Kashif Sultan
- Physical Therapist
- Canton, MI
National Provider Identifier
1215407085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006884
- Practice address
- 49205 Stanton CT
Canton, MI 48188-8010 - Phone
- (586) 344-6708
- NPI assigned
- Dec 4, 2018
- Last updated
- Dec 4, 2018
- 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 | 5501006884 | MI | Primary |
Addresses
Primary practice location
49205 Stanton CT
Canton, MI 48188-8010
Mailing address
49205 Stanton CT
Canton, MI 48188-8010
Phone (586) 344-6708
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 |
|---|---|---|---|
| 5501006884 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1215407085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49205 STANTON CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481888010",
"telephone_number": "586-344-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49205 STANTON CT",
"city": "CANTON",
"state": "MI",
"postal_code": "481888010",
"telephone_number": "586-344-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULTAN",
"first_name": "KASHIF",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-04",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, MI
- Patrick Donald Stropes, CPRM,CPRC,RCSS
- Nancy Struble
- Steven Victor Stryk, M.D.
- Nicole M Stryker, ABOC
- Kanakarajan Subramaniam, PHYSICAL THERAPIST
- Summit RX LLC
- Sunlite Home Care Inc (Sunlite Home Care)
- Sunny Pediatrics LLC (Sunny Pediatrics and Family Medicine)
- Sunrise Family Dental Care
- Superior Olive Audiology Services LLC (Ascent Audiology and Hearing Canton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.