Individual provider Active NPI

Samynathan Thirunavukkarasu, P.T

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1255482626
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008318 Issued in MI
Practice address
43651 Cherrywood LN
Canton, MI 48188-1996
Phone
(734) 844-1678
Fax
(734) 238-0487
NPI assigned
Jan 14, 2007
Last updated
Apr 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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 5501008318 MI Primary

Addresses

Primary practice location

43651 Cherrywood LN
Canton, MI 48188-1996

Mailing address

43651 Cherrywood LN
Canton, MI 48188-5298
Phone (734) 844-1678

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
Best Health Rehabilitation Service,Inc Physical Therapist Current Accepting new patients
Best Health Physical Therapy LLC Current Accepting new patients
Theracare Rehab LLC Physical Therapist Past Accepting new patients
Octagon Rehab Services, Inc Physical Therapist PastSince Aug 6, 2000 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": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1255482626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43651 CHERRYWOOD LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885298",
            "telephone_number": "734-844-1678",
            "fax_number": "734-238-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43651 CHERRYWOOD LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481881996",
            "telephone_number": "734-844-1678",
            "fax_number": "734-238-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRUNAVUKKARASU",
        "first_name": "SAMYNATHAN",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.