NPIMap

Organization Active NPI

Empower Physical Therapy and Fitness

  • Physical Therapy Assistant
  • Clinton Township, MI
National Provider Identifier
1083019277
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
5502003513 Issued in MI
Legal business name
EMPOWER PHYSICAL THERAPY AND FITNESS
Practice address
15501 Metropolitan Pkwy
Suite 102
Clinton Township, MI 48036-1684
Phone
(586) 228-7000
Fax
(586) 228-7007
NPI assigned
Oct 30, 2014
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Mr. Rajendran Thangamuthu, DPTNPI 1457403446
Title
Owner/Physical Therapist
Phone
(248) 890-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 5502003513 MI Primary

Addresses

Primary practice location

15501 Metropolitan Pkwy
Suite 102
Clinton Township, MI 48036-1684

Mailing address

20554 Hall Rd
Clinton Township, MI 48038-5326
Phone (586) 868-7000

National Provider Directory

National Provider Directory
Tax ID family
Aquaticare Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20554 Hall Rd
Clinton Twp, MI 48038
Phone (586) 598-1247

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1083019277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20554 HALL RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385326",
            "telephone_number": "586-868-7000",
            "fax_number": "586-868-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "SUITE 102",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-228-7000",
            "fax_number": "586-228-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER PHYSICAL THERAPY AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "THANGAMUTHU",
        "authorized_official_first_name": "RAJENDRAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-890-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.