Regain Therapy Services LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REGAIN THERAPY SERVICES LLC

Practice address

5700 Water Tower PL
Clarkston, MI 48346-2668

Phone

(248) 278-8938

NPI assigned

Dec 22, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Marivenkatesh BalamanickamNPI 1417101080

Title

Physical Therapist

Phone

(248) 278-8938

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 6

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

• Marivenkatesh Balamanickam

  • Physical Therapist
  • Northville, MI
  • NPI 1417101080
  Medicare reassignment Care Compare group NPD Authorized official
• Michele Dubs, OT

  • Occupational Therapist
  • Plymouth, MI
  • NPI 1942898762
  Medicare reassignment Care Compare group NPD
• Lori Ann Hyde, O.T.

  • Occupational Therapist
  • Clinton Township, MI
  • NPI 1790926129
  Medicare reassignment Care Compare group NPD
• Lauren Elizabeth Staley-Martin, OTR/L

  • Occupational Therapist
  • Kalamazoo, MI
  • NPI 1063079721
  Medicare reassignment NPD
• Maitrey Thakar

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1417420274
  Medicare reassignment NPD
• Ajay Gupta, SLP

  • Speech-Language Pathologist
  • Southfield, MI
  • NPI 1487803466
  NPD

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1255043196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 ENTERPRISE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831809",
            "telephone_number": "248-278-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 WATER TOWER PL",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462668",
            "telephone_number": "248-278-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAIN THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "BALAMANICKAM",
        "authorized_official_first_name": "MARIVENKATESH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-278-8938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl R Reaume, DO
• Rebecca Walker Counseling Services
• Naveen Gunda Reddy, M.D.
• Redwood
• Staci L Reed, LLMSW
• Regency at Independence Township, LLC
• David William Regiani, D.D.S.
• Regional Cardiology Associates, P.L.C.
• Melissa Reich
• Patricia Reitz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.