Organization Active NPI

Kulsum Pelvic Rehab Services

  • Physical Therapist
  • Lake Orion, MI
National Provider Identifier
1528895364
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KULSUM PELVIC REHAB SERVICES
Practice address
4405 S Baldwin Rd Ste E
Lake Orion, MI 48359-2164
Phone
(248) 972-5088
Fax
(888) 614-2006
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mrs. Sameena Kulsum Syed, PTNPI 1215128947
Title
Physical Therapist
Phone
(248) 212-4203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4405 S Baldwin Rd Ste E
Lake Orion, MI 48359-2164

Mailing address

2661 Aubrey Dr
Lake Orion, MI 48360-2702
Phone (248) 212-4203

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1528895364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 AUBREY DR",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483602702",
            "telephone_number": "248-212-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 S BALDWIN RD STE E",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483592164",
            "telephone_number": "248-972-5088",
            "fax_number": "888-614-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULSUM PELVIC REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SAMEENA",
        "authorized_official_middle_name": "KULSUM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-212-4203",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.