Ron Physical Therapy P.C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501007156 Issued in MI

Legal business name

RON PHYSICAL THERAPY P.C

Practice address

17418 W 10 Mile Rd
Southfield, MI 48075-2951

Phone

(248) 552-1012

Fax

(248) 552-0657

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Sudhakaran Jegadeesh, PTNPI 1326249103

Title

President

Phone

(248) 552-1012

Specialties & licenses 1

Addresses

Other names 1

• Ron Physical Therapy P.C Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudhakaran Jegadeesh, PT, MBA

  • Orthopedic Physical Therapist
  • Southfield, MI
  • NPI 1326249103
  NPD (past) Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710189162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17418 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752951",
            "telephone_number": "248-552-1012",
            "fax_number": "248-552-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17418 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752951",
            "telephone_number": "248-552-1012",
            "fax_number": "248-552-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON PHYSICAL THERAPY P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEGADEESH",
        "authorized_official_first_name": "SUDHAKARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-552-1012",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ron Physical Therapy P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Romarie Residential Services
• Leonardo Romero-Barajas, MD
• Alexandria Sheree Romero, PA-C
• Fnu Romman Fatima
• Romulo S. Ancog MD PC
• Erika Lynn Rondeau
• June Vista-Maria Roney, REGISTERED NURSE
• Isabella Roque
• Lynn Roquemore, R.P.H
• Derek Rosa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.