Active NPI
Yathish K Kumar, P.T.
- Physical Therapist
- Livonia, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005855
- Practice address
- 14555 Levan Rd
Suite 215
Livonia, MI 48154-5083 - Phone
- (734) 542-9770
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501005855 | MI | Primary |
Addresses
Primary practice location
14555 Levan Rd
Suite 215
Livonia, MI 48154-5083
Mailing address
994 Ghent St
Canton, MI 48188-3330
Phone (248) 808-4524
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932256245 | Medicaid | MI | |
| 5501005855 | Other | MI | PHYSICAL THERAPY |
Other names 1
- Mr. Yathish K Kumar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16351 Rotunda Dr
Dearborn, MI 48120-1170
Phone (810) 701-4633
25899 W 12 Mile Rd
Suite 120
Southfield, MI 48034-8341
Phone (248) 688-1869
851 Penniman Ave
Plymouth, MI 48170-1621
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Physiofit Rehabilitation Services PLLC | Physical Therapist | Current | Accepting new patients |
| Tmi East, Inc. | Current | Accepting new patients | |
| Paxxon Healthcare Services LLC | Physical Therapist | Current | Accepting new patients |
| Mendelson Orthopedics PC | Past | Accepting new patients |
Locations
3451 Clarkston Rd
Lake Orion, MI 48360
Phone (734) 506-0630
851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595
25899 W 12 Mile Rd
Ste 120
Southfield, MI 48034
Phone (248) 688-1869
Organizations & group practices 5
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.
-
- Rehabilitation Clinic/Center
- Saginaw, MI
- NPI 1336709252
-
- Physical Therapist
- Superior Township, MI
- NPI 1740840602
-
- Physical Therapy Clinic/Center
- Southfield, MI
- NPI 1184140774
Physical Therapist
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1336808146
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1720153463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1932256245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 GHENT ST",
"city": "CANTON",
"state": "MI",
"postal_code": "481883330",
"telephone_number": "248-808-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 LEVAN RD",
"address_2": "SUITE 215",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545083",
"telephone_number": "734-542-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "YATHISH",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005855",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932256245",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "5501005855",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YATHISH",
"last_name": "KUMAR",
"middle_name": "K",
"prefix": "MR.",
"credential": "P.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.