RAVI BHUSHAN KUKKALLI (NPI# 1174727903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174727903 |
| Entity Type | Individual |
| Full Name | RAVI BHUSHAN KUKKALLI |
| Credential | P.T. |
| Practice Address |
20905 Greenfield Rd Suite 108 Southfield MI 48075-5360 |
| Practice Telephone | 2485528460 |
| Practice Fax Number | 2485529431 |
| Mailing Telephone | 2485528460 |
| Mailing Fax Number | 2485529431 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501010604 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 65-0-F3-1405-0 | 01 |
| Street Address |
20905 GREENFIELD RD SUITE 108 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669439915 | All American Rehab Care | Clinic/Center | 20905 Greenfield Rd, Suite 300, Southfield, MI 48075-5360 | 2006-04-28 |
| 1295281582 | Mohamed Makki | Physical Therapy Assistant | 20905 Greenfield Rd, Suite 300 M, Southfield, MI 48075-5360 | 2016-08-28 |
| 1699131698 | Roxann Baker Dds PC | Dentist | 20905 Greenfield Rd, 208, Southfield, MI 48075-5360 | 2016-01-06 |
| 1629494422 | Tara L Walker | Nurse Practitioner | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2014-03-17 |
| 1265874945 | Greenfield and 9 Mile Medical Center Pllc | Family Medicine | 20905 Greenfield Rd, Ste 607m, Southfield, MI 48075-5360 | 2013-07-23 |
| 1053663575 | Rsmd Pllc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-10-08 |
| 1538417654 | R S Medical Services Plc | Internal Medicine | 20905 Greenfield Rd, Suite 406, Southfield, MI 48075-5360 | 2012-08-21 |
| 1861754152 | Everett B. Simmons,jr.,m.d.,p.c. | Dermatology | 20905 Greenfield Rd, 607, Southfield, MI 48075-5360 | 2012-06-12 |
| 1912282096 | Melissa Ann Mack | Nurse Practitioner | 20905 Greenfield Rd, Suite 502, Southfield, MI 48075-5360 | 2011-10-20 |
| 1508182288 | Comprehensive Oral Healthcare PC | Dentist | 20905 Greenfield Rd, Suite 601, Southfield, MI 48075-5360 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332435 | Elite Physical Therapy of Southfield LLC | Physical Therapist | 15565 Northland Dr E Ste 816, Southfield, MI 48075-5329 | 2020-10-01 |
| 1275170888 | Physical Therapy Solutions | Physical Therapist | 24423 Southfield Rd Ste 100, Southfield, MI 48075-2864 | 2019-12-02 |
| 1508417106 | Ats Physical Therapy Pllc | Physical Therapist | 26776 W 12 Mile Rd Ste 101, Southfield, MI 48034-7807 | 2019-09-25 |
| 1518434018 | Rajadurai Viswas | Physical Therapist | 15565 Northland Dr W Ste 103, Southfield, MI 48075-5300 | 2018-11-01 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1669950051 | Elite Therapy Solutions Inc. | Physical Therapist | 26250 Northwestern Hwy Ste 100, Southfield, MI 48076-3955 | 2018-07-30 |
| 1750877981 | Novela Rehab Clinic P.c | Physical Therapist | 28777 Northwestern Hwy Ste 201, Southfield, MI 48034-8302 | 2018-07-11 |
| 1275021370 | Hq of Southfield LLC | Physical Therapist | 29121 Northwestern Hwy Ste A, Southfield, MI 48034-5705 | 2018-04-25 |
| 1821586140 | Sushma D Sharma | Physical Therapist | 26228 Summerdale Dr, Southfield, MI 48033-6136 | 2018-04-23 |
| 1760984819 | Lindsay Erin Watson | Physical Therapist | 22250 Providence Dr Ste 405, Southfield, MI 48075-6212 | 2018-03-05 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.