Abhilash Paul I

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014494 Issued in MI

Practice address

27301 Schoenherr Rd Ste 103
Warren, MI 48088-6649

Phone

(586) 393-5768

Fax

(248) 282-8416

NPI assigned

Dec 18, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1255796249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD STE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-393-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD STE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-393-5768",
            "fax_number": "248-282-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "ABHILASH",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-18",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Arness Patterson
• Jennifer Patton, FNP-C
• Jordan Paugh, DO
• Paul Petre MD PC
• Paul Petre MD PC
• David F Paul, O.D.
• Rabee Yousif Paul, M.D.
• Marcus L Paulus, DDS
• Jessica Pavela
• Patricia Anne Pawlak, RPH

• Physical Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.