Individual provider Active NPI

Solomon S Nathaniel, P.T.

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1902966955
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007750 Issued in MI
Practice address
2178 Meadow Reed Dr
Sterling Heights, MI 48314-2743
Phone
(586) 739-6171
Fax
(586) 739-6171
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501007750 MI Primary

Addresses

Primary practice location

2178 Meadow Reed Dr
Sterling Heights, MI 48314-2743

Mailing address

2178 Meadow Reed Dr
Sterling Heights, MI 48314-2743
Phone (586) 739-6171

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5501007750MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Physical Therapy & Rehab Center, Inc. Physical Therapist Past Accepting new patients
SS Rehab and Physical Therapy Inc Physical Therapist PastSince Apr 30, 2003 Accepting new patients
Creative Health, Inc. Physical Therapist PastSince Feb 24, 2003 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902966955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 MEADOW REED DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142743",
            "telephone_number": "586-739-6171",
            "fax_number": "586-739-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 MEADOW REED DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142743",
            "telephone_number": "586-739-6171",
            "fax_number": "586-739-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHANIEL",
        "first_name": "SOLOMON",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.