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

Mr. Elija Kamal Sansom, MPT

Individual provider Physical Therapist · NPI 1073724720

Mr. Elija Kamal Sansom, MPT is a Physical Therapist in Private Practice in Warren, Michigan. Qualified in 2000, 26 years ago. Practices with Michigan Rehabilitation Specialists of Fowlerville LLC, a 125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

8381 E 12 Mile Rd
Warren, MI 48093-2769
Phone: (586) 698-1999
Fax: (586) 576-6531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 261 Mack Ave, Detroit, MI 48201 — (313) 745-1100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501010471 (MI)

Record details

NPI number1073724720
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 11, 2023
Certification dateJuly 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Michigan Rehabilitation Specialists Of Fowlerville Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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