Stayfit Rehab Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

STAYFIT REHAB INC

Practice address

2191 South Blvd
Suite 203
Auburn Hills, MI 48326-4832

Phone

(248) 334-9003

Fax

(248) 334-9334

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Ganeshkumar Shanmugasundaram, RPTNPI 1902939895

Title

Co-Owner

Phone

(248) 334-9003

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ganeshkumar Shanmugasundaram, RPT

  • Physical Therapist
  • Warren, MI
  • NPI 1902939895
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1295258374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BVLD",
            "address_2": "STE 203",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "48326",
            "telephone_number": "248-334-9003",
            "fax_number": "248-334-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 SOUTH BLVD",
            "address_2": "SUITE 203",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264832",
            "telephone_number": "248-334-9003",
            "fax_number": "248-334-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYFIT REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "SHANMUGASUNDARAM",
        "authorized_official_first_name": "GANESHKUMAR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "248-334-9003",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Medicine Associates,PLC
• St Joseph Mercy of Oakland
• Janaya Renee Stallworth
• Martha Lou Stange, RN
• Heather Stanley, DPT
• Katrina Ann Steenstra, LBSW
• Pamela Steffes, RN
• Kathryn Elizabeth Stennett, LLMSW
• Stephanie Stephan, DDS
• Gregory George Stevens, M.D.

• Rehabilitation Clinic/Center in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Rehabilitation Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.