Organization Active NPI

Theramatrix, Inc.

  • Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1124276662
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THERAMATRIX, INC.
Practice address
6041 15 Mile Rd
Sterling Heights, MI 48312-4501
Phone
(586) 264-4343
Fax
(586) 264-0539
NPI assigned
Sep 8, 2008
Organization subpart
Yes
Parent organization
THERAMATRIX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Mr. Richard Whitton
Title
Ceo
Phone
(248) 333-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6041 15 Mile Rd
Sterling Heights, MI 48312-4501

Mailing address

900 Auburn Ave
Pontiac, MI 48342-3300
Phone (248) 333-3335

Other names 1

  • Theramatrix Physical Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Theramatrix Inc12 organizations share this tax ID, including this one
Part of
Theramatrix Inc

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1124276662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423300",
            "telephone_number": "248-333-3335",
            "fax_number": "248-333-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124501",
            "telephone_number": "586-264-4343",
            "fax_number": "586-264-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMATRIX, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAMATRIX, INC.",
        "enumeration_date": "2008-09-08",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "WHITTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-333-3335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theramatrix Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.