| Mrs Sushree Tekumulla, OT | |
|
1702 Water St, Port Huron, MI 48060-4136 | |
| (810) 966-9102 | |
| (810) 966-9104 |
| Full Name | Mrs Sushree Tekumulla |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 30 Years |
| Location | 1702 Water St, Port Huron, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467519553 | NPI | - | NPPES |
| 4859304 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201003768 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverview Physical Therapy And Rehab Llc | 4789690983 | 2 |
| Provider Name | Riverview Physical Therapy And Rehab Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528248036 PECOS PAC ID: 4789690983 Enrollment ID: O20060224000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sushree Tekumulla, OT 1702 Water St, Port Huron, MI 48060-4136 Ph: (810) 966-9102 | Mrs Sushree Tekumulla, OT 1702 Water St, Port Huron, MI 48060-4136 Ph: (810) 966-9102 |
Leslie Arendoski-mcmahan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3306 Fanone Dr, Port Huron, MI 48060 Phone: 810-434-0570 | |
Kristi L Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St, Port Huron, MI 48060 Phone: 810-488-8380 | |
Mr. Kevin R Papenfus, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St Ste C, Port Huron, MI 48060 Phone: 810-488-8381 | |
Mrs. Nicole Schott, MSOT, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-216-1800 | |
Stacey Randall-weir, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Beard St, Port Huron, MI 48060 Phone: 810-982-9500 | |
Cortney L Uresti, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1411 3rd St Ste C, Port Huron, MI 48060 Phone: 810-429-6794 | |
Melane Kerry, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2601 Electric Ave, Port Huron, MI 48060 Phone: 810-216-1800 |