Active Plus Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACTIVE PLUS PHYSICAL THERAPY, PC

Practice address

7004 Michigan Ave
Detroit, MI 48210-2872

Phone

(734) 306-2503

Fax

(888) 496-5550

NPI assigned

Oct 15, 2020

Last updated

Jan 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kash Nakum, DPT

Title

Manager

Phone

(734) 306-2503

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, and the practitioner matching its NPPES authorized official.

• Kashyapkumar Meghajibhai Nakum, RPT

  • Physical Therapist
  • Detroit, MI
  • NPI 1144534421
  Medicare reassignment NPD

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706400000000",
    "number": "1366040859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102872",
            "telephone_number": "734-306-2503",
            "fax_number": "888-496-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 MICHIGAN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482102872",
            "telephone_number": "734-306-2503",
            "fax_number": "888-496-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE PLUS PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A",
        "authorized_official_last_name": "NAKUM",
        "authorized_official_first_name": "KASH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "734-306-2503",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE 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": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.