Organization Active NPI

Pro Health Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lansing, MI
National Provider Identifier
1811362304
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.