Active NPI
Kandasamy Suresh, RPT
- Physical Therapist
- Troy, MI
National Provider Identifier
1568640746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005288
- Practice address
- 5521 Houghten Dr
Troy, MI 48098-2908 - Phone
- (248) 301-0001
- NPI assigned
- Feb 10, 2008
- Last updated
- Jun 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | 5501005288 | MI | Primary |
Addresses
Primary practice location
5521 Houghten Dr
Troy, MI 48098-2908
Mailing address
5521 Houghten Dr
Troy, MI 48098-2908
Phone (734) 578-6369
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568640746 | Medicaid | MI | |
| 4539664 | Medicaid | MI |
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 |
|---|---|---|---|
| 5501005288 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1568640746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5521 HOUGHTEN DR",
"city": "TROY",
"state": "MI",
"postal_code": "480982908",
"telephone_number": "734-578-6369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5521 HOUGHTEN DR",
"city": "TROY",
"state": "MI",
"postal_code": "480982908",
"telephone_number": "248-301-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURESH",
"first_name": "KANDASAMY",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-10",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568640746",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4539664",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
- Melissa Kay Sundt, M.S., BCBA
- Sunrise Institute for Pain Management P.C.
- Superior Anesthetists Associates, Inc.
- Linda Sue Supple-Diaz, LMSW
- Bindu Suresh, M.D.
- Sanjula Suresh, NP
- Surgical Assist, PLC
- Surgical Centers of Michigan, LLC (Anethesia SCM)
- Surgical Centers of Michigan, LLC.
- Paige Morgan Susalla
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.