Organization Active NPI

RS Physical Therapy Inc

  • Physical Therapist
  • Walled Lake, MI
National Provider Identifier
1386608131
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007788 Issued in MI
Legal business name
RS PHYSICAL THERAPY INC
Practice address
1123 E West Maple Rd
Suite 2
Walled Lake, MI 48390-3700
Phone
(248) 960-2334
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheela Premkumar, BS PT
Title
President
Phone
(248) 960-2334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5501007788 MI Primary

Addresses

Primary practice location

1123 E West Maple Rd
Suite 2
Walled Lake, MI 48390-3700

Mailing address

1123 E West Maple Rd
Suite 2
Walled Lake, MI 48390-3700
Phone (248) 960-2334

National Provider Directory

National Provider Directory

Locations

1123 E West Maple Rd
Ste 2
Walled Lake, MI 48390
Phone (248) 390-1467

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386608131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 E WEST MAPLE RD",
            "address_2": "SUITE 2",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903700",
            "telephone_number": "248-960-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 E WEST MAPLE RD",
            "address_2": "SUITE 2",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903700",
            "telephone_number": "248-960-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREMKUMAR",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-960-2334",
        "authorized_official_credential": "BS PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.