Kishore Jeevanandam, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009887 Issued in MI

Practice address

20319 Farmington Rd
Livonia, MI 48152-1411

Phone

(248) 476-8911

Fax

(248) 476-8913

NPI assigned

Jul 20, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapy Consultants,P.C.Group PAC ID 7012172455, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Therapy Consultants,P.C.

  • Physical Therapist
  • Waterford, MI
  • NPI 1023395456
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1740578095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 BRIGHTON LN",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481887202",
            "telephone_number": "313-414-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20319 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521411",
            "telephone_number": "248-476-8911",
            "fax_number": "248-476-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEEVANANDAM",
        "first_name": "KISHORE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JBNP Services, LLC
• JBNP Services, LLC
• JD Behavioral Consulting
• JD Counseling
• Sybil Therese Jeannin, LMSW
• Brianna Jefferson
• Kailyn Jefferson
• Jeffrey D. Rosenbaum D.O., P.C.
• Jeffrey Danto DPM
• Jeffrey H Forrest DDS PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.

Verify at the official NPI Registry.