Organization Active NPI

Convergent Kinetics, PLLC

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1427757459
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CONVERGENT KINETICS, PLLC
Practice address
25155 Springbrook Dr
Farmington Hills, MI 48336-1953
Phone
(248) 993-5526
NPI assigned
Feb 28, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Athena Akram, DPTNPI 1336683408
Title
Physical Therapist
Phone
(248) 993-5526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Ergonomics Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1200X

Addresses

Primary practice location

25155 Springbrook Dr
Farmington Hills, MI 48336-1953

Mailing address

25155 Springbrook Dr
Farmington Hills, MI 48336-1953
Phone (248) 993-5526

Other names 1

  • Convergent Kinetics Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241220002402 FL Part B Supplier - Clinic/Group Practice 9931636578 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Locations

8333 Gunn Hwy
Tampa, FL 33626
Phone (813) 291-3536

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1427757459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25155 SPRINGBROOK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361953",
            "telephone_number": "248-993-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25155 SPRINGBROOK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361953",
            "telephone_number": "248-993-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERGENT KINETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "AKRAM",
        "authorized_official_first_name": "ATHENA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-993-5526",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convergent Kinetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.