Individual provider Active NPI

Leo Adewusi

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1578718664
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004942 Issued in MI
Practice address
11285 Irene Ave
Warren, MI 48093-6543
Phone
(586) 838-0731
NPI assigned
Nov 18, 2008
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501004942 MI Primary

Addresses

Primary practice location

11285 Irene Ave
Warren, MI 48093-6543

Mailing address

11285 Irene Ave
Warren, MI 48093-6543
Phone (586) 838-0731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090401000350 MI Practitioner - Physical Therapist in Private Practice 3072673169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DM Care LLCGroup PAC ID 0840617916, 3 clinicians

Practice addresses (Care Compare)

3120 Carpenter St
Suite 107
Hamtramck, MI 48212-2771
Phone (734) 972-7959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Systems Inc Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Therapeutic Solutions, Inc. Current Accepting new patients
DM Care LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

26672 Van Dyke Ave
Center Line, MI 48015
Phone (586) 756-7670

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

3120 Carpenter St
Ste 107
Hamtramck, MI 48212
Phone (313) 788-8131

31131 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 677-0165

30771 Utica Rd
Roseville, MI 48066
Phone (586) 777-7844

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1578718664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11285 IRENE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936543",
            "telephone_number": "586-838-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11285 IRENE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936543",
            "telephone_number": "586-838-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEWUSI",
        "first_name": "LEO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.

Verify at the official NPI Registry.