Active NPI
Deepak Sebastian, DPT
- Physical Therapist
- Livonia, MI
National Provider Identifier
1700945235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005163
- Practice address
- 20319 Farmington Rd BLDG E
Livonia, MI 48152-1411 - Phone
- (248) 476-8911
- Fax
- (248) 476-8913
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- 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 | 5501005163 | MI | Primary |
Addresses
Primary practice location
20319 Farmington Rd BLDG E
Livonia, MI 48152-1411
Mailing address
20319 Farmington Rd BLDG E
Livonia, MI 48152-1411
Phone (248) 476-8911
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383606482 | Other | MI | INSPIRATIONS TAX ID |
| 383454355 | Other | MI | ALTERNATIVE REHAB TAX ID |
| 650H202760 | Other | MI | BCBS INDIVIDUAL PIN |
| 650H217590 | Other | MI | BCBS GROUP PIN |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Chiropractic Corp | Past | Accepting new patients |
Interoperability endpoints
- dsebastian562395@direct.hfhs.org
Organizations & group practices 1
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.
-
- Chiropractor
- Northville, MI
- NPI 1366539504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1700945235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20319 FARMINGTON RD BLDG E",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521411",
"telephone_number": "248-476-8911",
"fax_number": "248-476-8913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20319 FARMINGTON RD BLDG E",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481521411",
"telephone_number": "248-476-8911",
"fax_number": "248-476-8913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEBASTIAN",
"first_name": "DEEPAK",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005163",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSPIRATIONS TAX ID",
"identifier": "383606482",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTERNATIVE REHAB TAX ID",
"identifier": "383454355",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PIN",
"identifier": "650H202760",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP PIN",
"identifier": "650H217590",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.