NPIMap

Organization Active NPI

Theracare Rehab LLC

  • Rehabilitation Hospital Unit
  • Spring Arbor, MI
National Provider Identifier
1295965911
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
THERACARE REHAB LLC
Practice address
7851 Spring Arbor Rd Ste 24
Spring Arbor, MI 49283-9503
Phone
(517) 750-4360
Fax
(517) 750-4364
NPI assigned
Jul 15, 2009
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Chamu Padmanabhan, BS
Title
President
Phone
(734) 658-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

7851 Spring Arbor Rd Ste 24
Spring Arbor, MI 49283-9503

Mailing address

43607 Lancaster CT
Canton, MI 48187-2230
Phone (517) 750-4360

Other practice location 1

42456 Cherry Hill Road
Canton, MI 48187-3401
Phone (734) 844-1478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295965911. Details of each certification follow.

  • CCN 236881 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 236881

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THERACARE REHAB
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 21, 2016
Last certification
Aug 15, 2022
Ownership / control type
Proprietary
Facility address
7851 Spring Arbor Rd, Suite 24
Spring Arbor, MI 49283

National Provider Directory

National Provider Directory

Locations

42456 Cherry Hill Rd
Canton, MI 48187
Phone (734) 658-8482

7845 Spring Arbor Rd
Ste C
Spring Arbor, MI 49283
Phone (517) 750-4360

7851 Spring Arbor Rd
Unit 11
Spring Arbor, MI 49283
Phone (517) 750-4360

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1295965911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43607 LANCASTER CT",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872230",
            "telephone_number": "517-750-4360",
            "fax_number": "734-844-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7851 SPRING ARBOR RD STE 24",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839503",
            "telephone_number": "517-750-4360",
            "fax_number": "517-750-4364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42456 CHERRY HILL ROAD",
            "address_purpose": "LOCATION",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873401",
            "country_code": "US",
            "telephone_number": "734-844-1478",
            "fax_number": "734-468-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERACARE REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "PADMANABHAN",
        "authorized_official_first_name": "CHAMU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-658-8482",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Arbor, MI

Sources for this page

Verify at the official NPI Registry.