SOUNDARARAJAN DURAISAMY (NPI# 1801362272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801362272 |
| Entity Type | Individual |
| Full Name | SOUNDARARAJAN DURAISAMY |
| Practice Address |
900 Cooper St Jackson MI 49202-3398 |
| Mailing Address |
1842 Steeplechase Rd Canton MI 48188-2565 |
| Practice Telephone | 5177809500 |
| Mailing Telephone | 5178626648 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
5501014241 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
900 COOPER ST |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364554 | Erica L Hawkins | Nurse Practitioner | 900 Cooper St, Jackson, MI 49202-3398 | 2020-01-03 |
| 1922655745 | Valerie Harris-callahan | Social Worker | 900 Cooper St, Jackson, MI 49202-3398 | 2019-08-26 |
| 1821568742 | Raymond Sauseda | Social Worker | 900 Cooper St, Jackson, MI 49202-3398 | 2018-12-04 |
| 1083184246 | Elizabeth A Avery | Occupational Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-11-30 |
| 1962970384 | Susan Edwards | Occupational Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-11-03 |
| 1316414964 | Shivender Deswal | Occupational Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-10-31 |
| 1275000846 | Janice Ann Carrigan | Occupational Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-10-31 |
| 1053888719 | Mary Elisabeth Melling | Social Worker | 900 Cooper St, Jackson, MI 49202-3398 | 2018-10-30 |
| 1679040430 | Scott Alan Hager | Occupational Therapist | 900 Cooper St, Jackson, MI 49202-3398 | 2018-10-30 |
| 1033686829 | Lisa Nowery | Social Worker | 900 Cooper St, Jackson, MI 49202-3398 | 2018-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974974 | Karen Tischler | Physical Therapist | 202 White Rd, Jackson, NJ 08527-5014 | 2018-09-05 |
| 1619410925 | Sarah Margaret Kelber | Physical Therapist | 2 Bailey Ct, Jackson, NJ 08527-4459 | 2016-11-18 |
| 1932540648 | Elena Maria Miller | Physical Therapist | 581 Zachary Ln, Jackson, TN 38305-5679 | 2013-07-10 |
| 1912377797 | Margaret Shrader | Physical Therapist | 5411 I 55 N, Jackson, MS 39206-3616 | 2015-10-06 |
| 1124362793 | Helen Smith | Physical Therapist | 29 N Star Dr, Ste. E, Jackson, TN 38305-6656 | 2012-11-20 |
| 1609127083 | Rehabilitation Consultants | Physical Therapist | 820 Cooper Rd Ste J, Jackson, MS 39212-4099 | 2012-09-26 |
| 1790894996 | Mary Love Mcinnis | Physical Therapist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652763 | Better Care Therapy Services LLC | Physical Therapist | 49872 Alden, Canton, MI 48188-2869 | 2020-02-22 |
| 1184196792 | Alicia Adams | Physical Therapist | 1690 Sweet Grass Dr Se, Caledonia, MI 49316-7309 | 2018-12-20 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1578062329 | Elizabeth Jean Ramey | Physical Therapist | 6567 Elwood Ct N, Allendale, MI 49401-8347 | 2018-02-07 |
| 1689115040 | Bright Life Therapies LLC | Physical Therapist | 7690 Candlewood Dr, Ada, MI 49301 | 2017-03-17 |
| 1356723795 | Elvin Verde | Physical Therapist | 6234 Sunflower Dr, Fennville, MI 49408-7604 | 2015-06-22 |
| 1831586510 | Nirupa Suvarna | Physical Therapist | 2210 Cora St, Apartment Number 8, Wyandotte, MI 48192-4348 | 2015-04-21 |
| 1215324991 | Jais Mathews | Physical Therapist | 44660 Midway Dr, Novi, MI 48375-3953 | 2015-04-21 |
| 1558783134 | Troy Westcott | Physical Therapist | 11655 Superior St, Mohawk, MI 49950-9539 | 2014-01-15 |
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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.