Individual provider Active NPI

Karikalan Velusamy, PT

  • Physical Therapist
  • Lansing, MI
National Provider Identifier
1427551639
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008484 Issued in MI
Practice address
2909 E Grand River Ave Ste 301
Lansing, MI 48912-4300
Phone
(517) 364-8695
Fax
(517) 364-8696
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501008484 MI Primary

Addresses

Primary practice location

2909 E Grand River Ave Ste 301
Lansing, MI 48912-4300

Mailing address

2909 E Grand River Ave Ste 301
Lansing, MI 48912-4300
Phone (517) 364-8695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128001732 MI Practitioner - Physical Therapist in Private Practice 7416383112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Physical Therapy Specialists LLCGroup PAC ID 4880020585, 3 clinicians

Practice addresses (Care Compare)

2740 E Lansing Dr
Suite B
East Lansing, MI 48823-2898
Phone (517) 318-6066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501008484MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Physical Therapy Specialists, LLC Physical Therapist CurrentSince Jan 3, 2020 Accepting new patients

Locations

2740 E Lansing Dr
Ste B
East Lansing, MI 48823
Phone (517) 318-6066

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1427551639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 E GRAND RIVER AVE STE 301",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124300",
            "telephone_number": "517-364-8695",
            "fax_number": "517-364-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E GRAND RIVER AVE STE 301",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124300",
            "telephone_number": "517-364-8695",
            "fax_number": "517-364-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELUSAMY",
        "first_name": "KARIKALAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.