MRS. SUSHREE TEKUMULLA (OT) – Occupational Therapist, NPI 1467519553

MRS. SUSHREE TEKUMULLA (OT) is a healthcare provider. based in Port huron, Michigan. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. 5201003768 (MI). The NPI Number for MRS. SUSHREE TEKUMULLA (OT) is 1467519553

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSHREE TEKUMULLA (OT)
NPI
1467519553
Phone
(810) 966-9102
Address
1702 WATER ST
Enumeration Date
2 January 2007
Last Update Date
24 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109375444
Graduation Year
1995 (31 years ago)
PAC ID
8729094941
Group Practice PAC ID
4789690983
Professional Enrollment ID
I20060228000388
Address ID
MI480593408FO4940XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

711 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MRS. SUSHREE TEKUMULLA (OT)

  • 1702, Water Street, Port Huron, Saint Clair County, Michigan, 48060, United States

    PORT HURON, MI 480604136

    Phone: (810) 966-9102

    Fax: (810) 966-9104

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060228000388IOccupational Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,18752$0
97140Therapy procedure using manual technique, each 15 minutes74040$0
97530Therapy procedure using functional activities24422$0
97165Evaluation for occupational therapy, typically 30 minutes3029$0
97166Evaluation for occupational therapy, typically 45 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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Provider's Procedures

MRS. SUSHREE TEKUMULLA (OT) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes182381

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789690983View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What federal number belongs to MRS. SUSHREE TEKUMULLA (OT)?
The federal identifier for MRS. SUSHREE TEKUMULLA (OT) is NPI 1467519553.
Is MRS. SUSHREE TEKUMULLA (OT) currently active in the NPI registry?
CMS-published data lists MRS. SUSHREE TEKUMULLA (OT) as an active registrant.
What field does MRS. SUSHREE TEKUMULLA (OT) work in?
You can think of MRS. SUSHREE TEKUMULLA (OT) as practicing within Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MRS. SUSHREE TEKUMULLA (OT)?
We surface Port Huron, Michigan for MRS. SUSHREE TEKUMULLA (OT) based on available NPPES addresses.
Is MRS. SUSHREE TEKUMULLA (OT) a real provider?
This page reflects official NPPES data for NPI 1467519553. Always confirm identity and privileges with the practice and licensing boards.

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