BALASUBRAMANIYAM PISUPATI (NPI# 1669554382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669554382 |
Entity Type | Individual |
Full Name | BALASUBRAMANIYAM PISUPATI |
Credential | RPT |
Practice Address |
3235 E Michigan Ave Jackson MI 49202-3971 |
Practice Telephone | 5179901242 |
Mailing Telephone | 5179901242 |
Enumeration Date | 2006-10-20 |
Last Update Date | 2008-02-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | 5501007541 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3235 E MICHIGAN AVE |
City | JACKSON |
State | MI |
Zip Code | 49202-3971 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578512851 | Craig Eugene Sponseller | Physician Assistant | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2006-05-06 |
1801163316 | Karen Van Eck | Nurse Practitioner | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2011-11-29 |
1437385382 | Shana A Ageloff-kupetz | Family Medicine | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2009-06-05 |
1770746943 | Joel David Miller | Family Medicine | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2008-07-08 |
1548489925 | Cascades Orthopedic Rehabilitation Services | Physical Therapist | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2007-04-24 |
1770613770 | Larry E Jennings Md PC | Family Medicine | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2007-03-07 |
1497844120 | Tariq Kutob | Family Medicine | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2006-10-12 |
1629179171 | Larry D Farr | Family Medicine | 3235 E Michigan Ave, Jackson, MI 49202-3971 | 2006-09-26 |
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 | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497133797 | Kyle Justin | Rehabilitation Practitioner | 5295 Timbercrest Trl, Jackson, MI 49201-9729 | 2015-05-07 |
1548354830 | Jirapun Laiprasert | Rehabilitation Practitioner | 1500 East Woodrow Willson Drive, Jackson, MS 39216 | 2006-10-03 |
1407384894 | Carmen M Mitchell | Rehabilitation Practitioner | 950 W Monroe St Ste 600, Jackson, MI 49202-2083 | 2017-05-30 |
1972036861 | David Lee Sprunger | Rehabilitation Practitioner | 950 W Monroe St Ste 600, Jackson, MI 49202-2083 | 2017-04-06 |
1437697349 | Barbara Vanhouten | Rehabilitation Practitioner | 950 W Monroe St, Jackson, MI 49202-2079 | 2017-02-10 |
1619353406 | Stacie Nwabueze | Rehabilitation Practitioner | 3050 Charles Dr, Jackson, LA 70748-6135 | 2015-08-04 |
1639263924 | Liep H Tjeng | Rehabilitation Practitioner | 1500 East Woodrow Wilson Drive, Jackson, MS 39216 | 2006-10-03 |
1699756320 | Howard Katz | Rehabilitation Practitioner | 1190 N State St, Suite 202, Jackson, MS 39202-2413 | 2005-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144785205 | Lindsey Sayles | Rehabilitation Practitioner | 3115 Cascade Rd Se, Grand Rapids, MI 49506-1961 | 2019-02-04 |
1891274460 | Lindsey Elizabeth Mcbride | Rehabilitation Practitioner | 1570 E Beltline Ave Se, Grand Rapids, MI 49546-4446 | 2018-08-14 |
1003331752 | Restorative Outdoor Services LLC | Rehabilitation Practitioner | 6874 Wildwood Trl Sw, South Boardman, MI 49680-9588 | 2017-08-03 |
1912427121 | Kalysia Zimmerman | Rehabilitation Practitioner | 1444 Water St, Eaton Rapids, MI 48827-1860 | 2017-06-20 |
1104354349 | Rock Steady Boxing Mid Michigan | Rehabilitation Practitioner | 1914 S Saginaw Rd Apt 408, Midland, MI 48640-6808 | 2017-06-01 |
1952839532 | Alexus Miller | Rehabilitation Practitioner | 1314 Langley St Se, Grand Rapids, MI 49508-8925 | 2017-05-26 |
1528595055 | Amber Rose Brautigam | Rehabilitation Practitioner | 315 Fuller Ave Se # 2, Grand Rapids, MI 49506-1639 | 2017-05-15 |
1831625607 | April D Spotts | Rehabilitation Practitioner | 86 W Clarke Ave, Coldwater, MI 49036-1130 | 2017-05-11 |
1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
Find all providers with the same taxonomy |
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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.