Active NPI
Sam Prasanna Rajkumar James, OTR
- Occupational Therapist
- Troy, MI
National Provider Identifier
1558953711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201008710
- Practice address
- 6711 Westpointe Dr
Troy, MI 48085-1234 - Phone
- (248) 877-4624
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 9, 2021
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008710 | MI | Primary |
Addresses
Primary practice location
6711 Westpointe Dr
Troy, MI 48085-1234
Mailing address
6711 Westpointe Dr
Troy, MI 48085-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4745 Michigan Ave
Detroit, MI 48210-3247
Phone (313) 442-7875
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008710 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Choice Physical Therapy, P.C. | Current | Accepting new patients | |
| Rafa Therapies Inc | Current | Accepting new patients |
Locations
4745 Michigan Ave
Detroit, MI 48210
Phone (313) 442-7875
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Detroit, MI
- NPI 1659096923
-
- Physical Therapist
- Detroit, MI
- NPI 1073702908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1558953711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 WESTPOINTE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 WESTPOINTE DR",
"city": "TROY",
"state": "MI",
"postal_code": "480851234",
"telephone_number": "248-877-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "SAM",
"middle_name": "PRASANNA RAJKUMAR",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201008710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.