KYLE CUSTODI (NPI# 1275991044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275991044 |
| Entity Type | Individual |
| Full Name | KYLE CUSTODI |
| Practice Address |
27240 Haggerty Rd Suite E15 Farmington Hills MI 48331-5716 |
| Mailing Address |
309 N Park Ave Buffalo NY 14216-1937 |
| Practice Telephone | 8669910900 |
| Mailing Telephone | 8669910900 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | P15989 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
27240 HAGGERTY RD SUITE E15 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48331-5716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437377215 | Cherrice Price | Occupational Therapist | 27240 Haggerty Rd, E-15, Farmington Hills, MI 48331-5716 | 2007-04-24 |
| 1619333606 | Rajvir Dosanjh | Physical Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2016-01-07 |
| 1023474129 | Martin Bui | Physical Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2016-01-06 |
| 1912371295 | Charlese Montague | Occupational Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2015-11-24 |
| 1225402712 | Chukwuebuka Ozougwu | Physical Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2015-11-20 |
| 1104292341 | Amanda Orr | Occupational Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2015-08-11 |
| 1396120861 | Charity Duley | Physical Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2015-07-27 |
| 1437534393 | Kayla Northup | Occupational Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2015-07-21 |
| 1497137210 | Kristi Simon | Physical Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2015-06-29 |
| 1487036208 | Eric Vogler | Physical Therapist | 27240 Haggerty Rd, Suite E15, Farmington Hills, MI 48331-5716 | 2015-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700352804 | Lori A Galicki | Occupational Therapist | 3405 W 12 Mile Rd. Suite 200, Farmington Hills, MI 48331 | 2018-10-17 |
| 1700372877 | Brooke Breann Reed | Speech-Language Pathologist | 34505 W 12 Mile Rd Ste 210, Farmington Hills, MI 48331 | 2018-07-02 |
| 1215473848 | Devon Caroline Welling | Advanced Practice Midwife | 31000 Country Bluff, Farmington Hills, MI 48331 | 2017-01-06 |
| 1780040246 | Pamela Moraa Obare | Nurse Practitioner | 36839 Greenspring St, Farmington Hills, MI 48331 | 2016-01-13 |
| 1427429844 | Counseling for The Brain, Body and Spirit, LLC | Community/Behavioral Health | 36510 Twelve Mile Rd, Farmington Hills, MI 48331 | 2015-10-12 |
| 1538548458 | Shavohn Rowser | Durable Medical Equipment & Medical Supplies | 38657 Lancaster Dr, Farmington Hills, MI 48331 | 2015-05-26 |
| 1851727697 | Sidney Lawrence Stone | Ophthalmology | 28853 Nottoway Drive, Farmington Hills, MI 48331 | 2013-09-25 |
| 1659621159 | Jacqueline Kiernan | Physical Therapist | 27240 Haggarty, Suite E15, Farmington Hills, MI 48331 | 2012-09-12 |
| 1770876476 | Elizabeth Anne Clancy | Counselor | 37875 12 Mile Rd, Farmington Hill, MI 48331 | 2011-05-27 |
| 1902197833 | Carla's Companionship & Care LLC | Home Health | 31145 Floralview Dr. S. #207, Farmington Hills, MI 48331 | 2011-04-26 |
| Find all providers in zip 48331 | ||||
| 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 |
|---|---|---|---|---|
| 1013521210 | Aj Lewandowski | Physical Therapist | 33481 W 14 Mile Rd Ste 130, Farmington Hills, MI 48331-1578 | 2020-09-04 |
| 1912538489 | Chintan Mistry | Physical Therapist | 31471 Northwestern Hwy Ste 1a, Farmington Hills, MI 48334-2575 | 2020-02-03 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| 1275014680 | Brian Bassil Kanona | Physical Therapist | 27970 Orchard Lake Rd Ste 4, Farmington Hills, MI 48334-3767 | 2018-08-23 |
| 1942780192 | Deborah Diane Harrison | Physical Therapist | 21829 Manchester Ln, Farmington Hills, MI 48335-5435 | 2018-08-17 |
| 1083115588 | Rebecca Sonn | Physical Therapist | 28100 Grand River Ave Ste 210, Farmington Hills, MI 48336-5913 | 2018-02-21 |
| 1225549405 | Ikramuddin Ahmed Khan | Physical Therapist | 24402 El Marco Dr, Farmington Hills, MI 48336-2043 | 2017-10-16 |
| 1326572140 | Lucinda Serr | Physical Therapist | 33533 W 12 Mile Rd Ste 290, Farmington Hills, MI 48331-5635 | 2017-04-18 |
| 1972044659 | Muhammad Zahoor | Physical Therapist | 30200 W 9 Mile Rd Apt 102c, Farmington Hills, MI 48336-4876 | 2017-03-15 |
| 1144688391 | Erick Sprout | Physical Therapist | 27555 Farmington Rd Ste 140, Farmington Hills, MI 48334-3369 | 2016-02-03 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48331 |
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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.