Active NPI
Pro Health Physical Therapy PC
- Physical Therapy Clinic/Center
- Lansing, MI
National Provider Identifier
1811362304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PRO HEALTH PHYSICAL THERAPY PC
- Practice address
- 5700 Executive Dr
Suite 3
Lansing, MI 48911-5301 - Phone
- (517) 402-4696
- NPI assigned
- Dec 9, 2015
- Last updated
- Dec 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kumpati Sobha, MHS PT
- Title
- President
- Phone
- (517) 918-9213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
5700 Executive Dr
Suite 3
Lansing, MI 48911-5301
Mailing address
5700 Executive Dr
Suite 3
Lansing, MI 48911-5301
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Lansing, MI
- NPI 1154775237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449619200000",
"number": "1811362304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 EXECUTIVE DR",
"address_2": "SUITE 3",
"city": "LANSING",
"state": "MI",
"postal_code": "489115301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 EXECUTIVE DR",
"address_2": "SUITE 3",
"city": "LANSING",
"state": "MI",
"postal_code": "489115301",
"telephone_number": "517-402-4696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO HEALTH PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A",
"authorized_official_last_name": "SOBHA",
"authorized_official_first_name": "KUMPATI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-918-9213",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MHS PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
- Kenneth John Price, MD
- Tracy Lee Pride, PA
- Primary Care Physician Network P C
- Susan Prinzing Klusinske, CSW
- Pro Dental Mi 1 PC (Destiny Dental of South Cedar)
- Professional Associates in Rehabilitation LLC (PAR Rehab Services)
- Professional Counselors of Lansing
- Professional Counselors of Lansing LLC
- Professional Peer Services
- Professional Psychological & Rehabilitation Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.