Elmer Agno Santos

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004210 Issued in MI

Practice address

8380 Geddes Rd
Ypsilanti, MI 48198-9404

Phone

(734) 547-7600

NPI assigned

Sep 11, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1265081368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33575 BAY HILL DR",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481746423",
            "telephone_number": "734-905-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 GEDDES RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481989404",
            "telephone_number": "734-547-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "ELMER",
        "middle_name": "AGNO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "5501004210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shailee A Sanghvi
• Syre O Saniyah, PH.D
• Constance Elaine Sanocki, CNP
• Michael Sanson, M.D.
• Clarissa Marie Santana, LPC
• Emma Santos
• Patricia Anne Santy, MD
• Erin Saotome
• Sara Camilleri LMSW LLC
• Sarah Tonin, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.