Active NPI
Akhila Suresh
- Physical Therapist
- Sault Ste Marie, MI
National Provider Identifier
1629701289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501020263
- Practice address
- War Memorial Rehabilitation Center
2427 Ashmun Street
Sault Ste Marie, MI 49783 - Phone
- (906) 635-4426
- NPI assigned
- Jul 1, 2022
- Last updated
- Jul 1, 2022
- Sex
- Female
- 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 | 5501020263 | MI | Primary |
Addresses
Primary practice location
War Memorial Rehabilitation Center
2427 Ashmun Street
Sault Ste Marie, MI 49783
Mailing address
44 Primrose Drive
Sault Ste Marie, ONTARIO P6B4E6
CA
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 |
|---|---|---|---|
| 5501020263 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1629701289",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "44 PRIMROSE DRIVE",
"city": "SAULT STE MARIE",
"state": "ONTARIO",
"postal_code": "P6B4E6"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAR MEMORIAL REHABILITATION CENTER",
"address_2": "2427 ASHMUN STREET",
"city": "SAULT STE MARIE",
"state": "MI",
"postal_code": "49783",
"telephone_number": "906-635-4426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURESH",
"first_name": "AKHILA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501020263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sault Ste Marie, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.