Bharatkumar H Fumakiya, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015359 Issued in MI

Practice address

8409 Brooke Park Drive
Apt 112
Canton, MI 48187-4078

Phone

(214) 620-1267

NPI assigned

May 4, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1518312982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 CANTERBURY CIR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873807",
            "telephone_number": "214-620-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 BROOKE PARK DRIVE",
            "address_2": "APT 112",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481874078",
            "telephone_number": "214-620-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUMAKIYA",
        "first_name": "BHARATKUMAR",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15713",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Fruitman, MPT
• Cathy Ann Fuerstnau, OTR/L
• Lindsay Frances Fujawa, DDS
• Caleb Jonathon Fuller, DDS
• Jill M. Fultz, M.S., L.L.P.
• Dalynngia Fuqua, LLPC
• Christopher Samuel Gabriel, RPT
• Jamie Galvan
• Chivonne Marie Gammon, PHARMD
• Jennifer Gannon, RPH

• 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 Nov 1, 2019; 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.