Elija Kamal Sansom, M.P.T.
NPI 1073724720ActiveIndividual· Physical Therapist· Warren, MI
Physical Therapist (M.P.T.) with Michigan Rehabilitation Specialists of Fowlerville LLC, practicing in Warren, Michigan. Medicare paid $9,150 for services to 20 patients in 2024.
Overview
| NPI | 1073724720 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.P.T. |
| Sole proprietor | No |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Jul 11, 2023 |
| Certified by provider | Jul 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501010471 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 427 across 8 procedure codes |
| Paid by Medicare | $9,150 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Michigan Rehabilitation Specialists of Fowlerville LLCDexter, MI · 124 clinicians
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