Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ganeshkumar Shanmugasundaram, RPT

Individual provider Physical Therapist · NPI 1902939895

Ganeshkumar Shanmugasundaram, RPT is a Physical Therapist in Private Practice in Warren, Michigan. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2007

Practice location Address checks out

28565 Ryan Rd
Warren, MI 48092-4176
Phone: (586) 486-5747
Fax: (586) 486-5836
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501009846 (MI)

Record details

NPI number1902939895
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESJanuary 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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