Sushree Tekumulla, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003768 Issued in MI

Practice address

1702 Water St
Port Huron, MI 48060-4136

Phone

(810) 966-9102

Fax

(810) 966-9104

NPI assigned

Jan 2, 2007

Last updated

Feb 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverview Physical Therapy and Rehab LLCGroup PAC ID 4789690983, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverview Physical Therapy and Rehab,LLC

  • Physical Therapist
  • Port Huron, MI
  • NPI 1528248036

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361664000000",
    "number": "1467519553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604136",
            "telephone_number": "810-966-9102",
            "fax_number": "810-966-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 WATER ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480604136",
            "telephone_number": "810-966-9102",
            "fax_number": "810-966-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKUMULLA",
        "first_name": "SUSHREE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4859304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Taylor
• Matthew A Taylor, R.PH.
• Melissa Kay Taylor
• Sierra Skie Taylor
• Hargopal Tekumulla, PT
• Telesha Temple, LBSW
• Tina Temple
• Katie Ann Tenniswood, LMT
• Rebecca Tenyer, FNP-C
• Michelle Lynn Terhune

• Occupational Therapist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2013; 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.