Lovely Anto Simon, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501012462 Issued in MI

Practice address

6574 Burtonwood Dr
West Bloomfield, MI 48322-3243

Phone

(248) 961-0693

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lovely Kurian Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• American Physio LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1376887141
  Medicare reassignment Authorized official
• HC Rehab Solutions LLC

  • Occupational Therapist
  • Plymouth, MI
  • NPI 1417995986

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1396928503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6574 BURTONWOOD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223243",
            "telephone_number": "248-961-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 BURTONWOOD DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223243",
            "telephone_number": "248-961-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "LOVELY",
        "middle_name": "ANTO",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOVELY",
            "last_name": "KURIAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jenna Silverstein, BCBA
• Michael Joseph Silvestri, CRNA
• Daniel Simmons, MA
• Jennifer Mayfield Simmons
• Jordan Elizabeth Simmons, AU.D.
• Robert Simon, LLMSW, CAADC
• Nancy Margolin Simons, RPH
• Simplicare LLC
• Lena Sims
• Sarmed Gabriel Sinawi, M.D.

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, 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 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.