Kiruba Haran Sam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501008509 Issued in MI

Practice address

4130 Seidel PL
Saginaw, MI 48638-5633

Phone

(989) 249-7086

Fax

(989) 249-7086

NPI assigned

Feb 27, 2008

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

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Powerback Rehabilitation LLC

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1912226366
  Medicare reassignment Care Compare group NPD
• Powerback Rehabilitation LLC

  • Physical Therapist
  • Woodbridge, VA
  • NPI 1790640761
  NPD
• In Home Rehab,LLC

  • Physical Therapist
  • Roseville, MI
  • NPI 1942248422
  NPD (past)
• Kovacek Peterson Management LLC

  • Physical Therapist
  • Frankenmuth, MI
  • NPI 1598771339
  NPD (past)
• Saginaw Physical Therapy and Rehab Specialists LLC

  • Physical Therapist
  • Reese, MI
  • NPI 1225149305
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1295904985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 SEIDEL PL",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385633",
            "telephone_number": "989-249-7086",
            "fax_number": "989-249-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 SEIDEL PL",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486385633",
            "telephone_number": "989-249-7086",
            "fax_number": "989-249-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "KIRUBA",
        "middle_name": "HARAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Salowitz, LMSW-C
• Salt Room Saginaw, LLC
• Christopher Salvi
• Carley Salzemnieks, DPT
• Tyler Salzemnieks, DPT, PT
• Sam'S Club Optical
• Samaritas Lutheran Social Services of Michigan
• Hizqueel Ahmed Sami, MD
• Syed Aijaz Sami, M.D.
• Sharday Sampson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.