Active NPI
Sijin Abraham, PT
- Physical Therapist
- West Bloomfield, MI
National Provider Identifier
1477057677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014983
- Practice address
- 6535 Drake Rd
West Bloomfield, MI 48322-3147 - Phone
- (239) 603-2202
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501014983 | MI | Primary |
Addresses
Primary practice location
6535 Drake Rd
West Bloomfield, MI 48322-3147
Mailing address
27550 Albert St
Novi, MI 48374-1012
Phone (239) 603-2202
Other practice location 1
6535 Drake Rd
West Bloomfield, MI 48322-3147
Phone (239) 603-2202
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014983 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521590400000",
"number": "1477057677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27550 ALBERT ST",
"city": "NOVI",
"state": "MI",
"postal_code": "483741012",
"telephone_number": "239-603-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6535 DRAKE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223147",
"telephone_number": "239-603-2202"
}
],
"practiceLocations": [
{
"address_1": "6535 Drake Rd",
"address_purpose": "LOCATION",
"city": "West Bloomfield",
"state": "MI",
"postal_code": "483223147",
"country_code": "US",
"telephone_number": "239-603-2202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAM",
"first_name": "SIJIN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.