Individual provider Active NPI

Senthil Kumar Kanagasabapathy, D.P.T

  • Physical Therapist
  • Lansing, IL
National Provider Identifier
1447500699
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018920 Issued in IL
Practice address
2500 175TH St
Lansing, IL 60438-1801
Phone
(708) 418-3612
Fax
(708) 214-5301
NPI assigned
Sep 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018920 IL Primary
Physical Therapist 225100000X 05010197A IN
Physical Therapist 225100000X 031981 NY
Physical Therapist 225100000X 2305206767 VA
Physical Therapist 225100000X 5501014724 MI

Addresses

Primary practice location

2500 175TH St
Lansing, IL 60438-1801

Mailing address

2500 175TH St
Lansing, IL 60438-1801
Phone (708) 418-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230503000744 IN Practitioner - Physical Therapist in Private Practice 0840655569 Reassigns benefits to 4 organizations
I20250103003183 IL Practitioner - Physical Therapist in Private Practice 0840655569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians
Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

3025 Spring Lake Dr
Lansing, IL 60438-4403
Phone (708) 412-4003

343 E 90TH Dr
Merrillville, IN 46410-8152
Phone (219) 207-6100

4300 Cleveland Ave
Michigan City, IN 46360-7683
Phone (219) 872-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018920ILMDPhysical Therapist
05010197AINMDPhysical Therapist
5501014724MIMDPhysical Therapist
031981NYMDPhysical Therapist
2305206767VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 13, 2024 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Nov 13, 2024 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Jul 17, 2023 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

10 S 9th St
Ste 4
Noblesville, IN 46060

Organizations & group practices 9

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1447500699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 175TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381801",
            "telephone_number": "708-418-3612",
            "fax_number": "708-214-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 175TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381801",
            "telephone_number": "708-418-3612",
            "fax_number": "708-214-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAGASABAPATHY",
        "first_name": "SENTHIL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018920",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010197A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031981",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206767",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.