Active NPI
Vasanthi Kalaisenthil
- Physical Therapist
- Flint, MI
National Provider Identifier
1649771205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017015
- Practice address
- G3201 Beecher Rd
Flint, MI 48532-3615 - Phone
- (810) 732-9200
- NPI assigned
- Feb 27, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017015 | MI | Primary |
Addresses
Primary practice location
G3201 Beecher Rd
Flint, MI 48532-3615
Mailing address
34005 Mitchell St
Grand Blanc, MI 48439-7222
Phone (810) 471-8407
Other names 1
- Vasanthi Sivasankaran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1280 NW 133Rd Way
Newberry, FL 32669-0466
Phone (352) 663-9988
4870 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 506-4324
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017015 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4870 Belfort Rd
Jacksonville, FL 32256
Phone (904) 322-0774
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 and National Provider Directory roles.
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
-
- Physical Therapist
- Newberry, FL
- NPI 1629947551
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1649771205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34005 MITCHELL ST",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484397222",
"telephone_number": "810-471-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G3201 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323615",
"telephone_number": "810-732-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALAISENTHIL",
"first_name": "VASANTHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VASANTHI",
"last_name": "SIVASANKARAN",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.