Kavita Suryavanshi, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201002431 Issued in MI

Practice address

404 W Nepessing St
Suite B
Lapeer, MI 48446-2150

Phone

(810) 245-1900

Fax

(810) 245-9080

NPI assigned

Sep 4, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Great Lakes in-Home Clinician Services Inc

  • Nurse Practitioner
  • Davison, MI
  • NPI 1467696153
  NPD (past) Authorized official
• Sunrise Home Care, Inc

  • Home Health Agency
  • Lapeer, MI
  • NPI 1760411516
  NPD (past) Authorized official
• A-One Physical Therapy and Sports Injury, Inc.

  • Physical Therapy Clinic/Center
  • Lapeer, MI
  • NPI 1396848180
  NPD (past)
• Heart to Heart Hospice of Flint LLC

  • Community Based Hospice Care Agency
  • Flint, MI
  • NPI 1215030242
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1396993168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W NEPESSING ST",
            "address_2": "SUITE B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462150",
            "telephone_number": "810-245-1900",
            "fax_number": "810-245-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W NEPESSING ST",
            "address_2": "SUITE B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462150",
            "telephone_number": "810-245-1900",
            "fax_number": "810-245-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYAVANSHI",
        "first_name": "KAVITA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5201002431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Sullivan, RN
• Nicole Suminski
• Sunrise Home Care, Inc
• Superior House Calls PLLC
• Surgical Specialist PC
• Mukesh Kumar Suryavanshi, P.T.
• Kristina Ashley Sutherby
• Lauren Christine Sutton, PA-C
• Michael Swabash, PA-C
• Swain Chiropractic Clinic

• Occupational Therapist in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.