Jims Thankachan Varghese, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501014403 Issued in MI

Practice address

27301 Schoenherr Rd Ste 103
Warren, MI 48088-6649

Phone

(586) 393-5768

Fax

(248) 282-8416

NPI assigned

Oct 15, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tririga Rehab LLC

  • Physical Therapy Clinic/Center
  • Bloomfield Hills, MI
  • NPI 1952766826

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Michigan Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Ann Arbor, MI
  • NPI 1003448994
  Medicare reassignment NPD
• Northwestern Rehabilitation Services. LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1326327230
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1063722676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD STE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-393-5768",
            "fax_number": "248-282-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD STE 103",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-393-5768",
            "fax_number": "248-282-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "JIMS",
        "middle_name": "THANKACHAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandyke Pharmacy
• Kia Vang, LMT
• Eric Joseph Vanhulle, PT MPT OMPT CSCS
• Joseph Vannoy, PHARMD
• Jeffrey Richard Varanelli, OD
• Kahlia Varner
• Muhammad Vasiq, MD
• Molly Ann Veale, D.O.
• Ved P Singla, M.D. P.C.
• Jane Vedua, PT

• Physical Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.