Santosh Chikine

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502005295 Issued in MI

Practice address

27423 Parkview Blvd Apt 5210
Warren, MI 48092-3631

Phone

(469) 600-9659

NPI assigned

Sep 10, 2019

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1982253159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30250 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480715205",
            "telephone_number": "586-421-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27423 PARKVIEW BLVD APT 5210",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480923631",
            "telephone_number": "469-600-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIKINE",
        "first_name": "SANTOSH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Warren, MI
• Providers in Warren, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.