Sunshine Therapy Provider, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUNSHINE THERAPY PROVIDER, PLLC

Practice address

15870 N Haggerty Rd
Plymouth, MI 48170-4872

Phone

(248) 930-1394

NPI assigned

Sep 14, 2022

Organization subpart

No

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

Authorized official

Name

Mohammed Khan, P.T.

Title

Member

Phone

(248) 910-4801

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1326760588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29256 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924286",
            "telephone_number": "586-751-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15870 N HAGGERTY RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481704872",
            "telephone_number": "248-930-1394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 S Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483020247",
            "country_code": "US",
            "telephone_number": "248-930-1394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNSHINE THERAPY PROVIDER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-910-4801",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Sullivan
• Austin Sullivan
• Julia Sultana
• Summit Mobility Group LLC
• Hajung Sung
• Ariel Super
• Superior Compounding Pharmacy LLC
• Superior Compounding Pharmacy LLC
• Superior Health Care Management Holdings, LLC
• Niharica Suri Kannan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.