Organization Active NPI

TLC Group LLC

Doing business as Chronic Pain Solutions

  • Orthopedic Physical Therapist
  • Ypsilanti, MI
National Provider Identifier
1346612579
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501004580 Issued in MI
Legal business name
TLC GROUP LLC
Doing business as
Chronic Pain Solutions
Practice address
1947 Whittaker Rd
Ypsilanti, MI 48197-9432
Phone
(734) 879-1138
Fax
(734) 879-1156
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Tiziano Andrew Marovino, DPTNPI 1205952546
Title
President
Phone
(734) 879-1138

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 5501004580 MI Primary

Addresses

Primary practice location

1947 Whittaker Rd
Ypsilanti, MI 48197-9432

Mailing address

1947 Whittaker Rd
Ypsilanti, MI 48197-9701
Phone (734) 879-1138

Other names 1

  • Chronic Pain Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216001473 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4880999697 Receives reassigned benefits from 1 practitioner
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Locations

1625 S Huron St
Ypsilanti, MI 48197
Phone (734) 879-1138

1947 Whittaker Rd
Ypsilanti, MI 48197
Phone (734) 879-1138

Practitioners & affiliated clinicians

Practitioners 2

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": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346612579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979701",
            "telephone_number": "734-879-1138",
            "fax_number": "734-879-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979432",
            "telephone_number": "734-879-1138",
            "fax_number": "734-879-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAROVINO",
        "authorized_official_first_name": "TIZIANO",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-879-1138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501004580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chronic Pain Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.