Individual provider Active NPI

Michael Ecarma Causin, MPT

  • Physical Therapist
  • Flushing, MI
National Provider Identifier
1467662510
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501008729 Issued in MI
Practice address
2500 N Elms Rd
Suite a
Flushing, MI 48433-9426
Phone
(810) 342-5550
Fax
(810) 342-5589
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5501008729 MI Primary

Addresses

Primary practice location

2500 N Elms Rd
Suite a
Flushing, MI 48433-9426

Mailing address

5139 Spinning Wheel Dr
Grand Blanc, MI 48439-4229
Phone (810) 695-7857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501008729MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467662510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5139 SPINNING WHEEL DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394229",
            "telephone_number": "810-695-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N ELMS RD",
            "address_2": "SUITE A",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339426",
            "telephone_number": "810-342-5550",
            "fax_number": "810-342-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSIN",
        "first_name": "MICHAEL",
        "middle_name": "ECARMA",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.