Sujoy Bose, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501007326 Issued in MI

Practice address

3990 John R St
Detroit, MI 48201-2018

Phone

(734) 216-2669

Fax

(313) 966-0065

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Mr. Sujoy Basu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Essential Therapy and Rehabilitation Services, Inc.

  • Rehabilitation Clinic/Center
  • Detroit, MI
  • NPI 1285935536
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1619094034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27172 LILLY DR",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481832796",
            "telephone_number": "734-676-2669",
            "fax_number": "734-676-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "734-216-2669",
            "fax_number": "313-966-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "SUJOY",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007326",
            "primary": true
        },
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "MI",
            "license": "5501007326",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "MI",
            "license": "5501007326",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501007326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUJOY",
            "last_name": "BASU",
            "prefix": "MR.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corey Isaac Bornstein, DDS
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• Daria Linda Borrousch, L.M.S.W
• Borson Dental DDS PLLC
• Kelley A Borys, R. PH.
• Heather K Bossler, CMT
• Yvonne Lynn Bostic, LPC
• Renee Chicawn Boston-Mitchell, LMSW
• Stephanie Bostwick
• Exa Boswell

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.