Blessen Samuel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013748 Issued in MI

Practice address

439 S Main St
Suite No 160
Rochester, MI 48307-2106

Phone

(713) 391-7000

NPI assigned

Jul 9, 2008

Last updated

Jul 9, 2008By the provider in NPPES

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

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prime Health Services LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1114773751
  NPD Authorized official
• Gilead Traumatic Brain & Back Rehab LLC

  dba Gilead Rehab,LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1386186617
  Authorized official Same address or phone
• Visiting Physicians of Detroit PLLC

  dba Visiting Physicians of Detroit

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1568185833
  NPD (past)

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1356504310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E JUDITH ANN DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562106",
            "telephone_number": "713-391-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 S MAIN ST",
            "address_2": "SUITE NO 160",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072106",
            "telephone_number": "713-391-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "BLESSEN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandip Saha, M.D.
• Beza T Sahlie, MD
• Pakhal Saketha
• Tanaz Salimnia, M.D.
• Dhairya Jigar Salvi, M.D.
• La Sharon Bobo Samuels, M.D.
• Evan Sangster
• Delfin Santos, M.D.
• Amy Sartor, MA, CCC- SLP
• Patrizia Scalia, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.