Kanakarajan Subramaniam, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

45900 Geddes Rd
Canton, MI 48188

Phone

(743) 306-0466

NPI assigned

Aug 4, 2018

Last updated

Aug 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1533340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1467930016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45900 GEDDES RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882306",
            "telephone_number": "734-306-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45900 GEDDES RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "48188",
            "telephone_number": "743-306-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBRAMANIAM",
        "first_name": "KANAKARAJAN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-04",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "5501006910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Stromberg
• Patrick Donald Stropes, CPRM,CPRC,RCSS
• Nancy Struble
• Steven Victor Stryk, M.D.
• Nicole M Stryker, ABOC
• Kashif Sultan
• Summit RX LLC
• Sunlite Home Care Inc (Sunlite Home Care)
• Sunny Pediatrics LLC (Sunny Pediatrics and Family Medicine)
• Sunrise Family Dental Care

• Physical Therapist in Canton, MI
• Providers in Canton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.