Jacob Chacko, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009281 Issued in MI

Practice address

261 W Canford Park
Canton, MI 48187-6667

Phone

(248) 935-3364

Fax

(734) 983-0575

NPI assigned

Feb 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• United Rehab Michigan, Inc.

  • Physical Therapist
  • Canton, MI
  • NPI 1275711228
  NPD (past) Authorized official

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1386822344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W CANFORD PARK",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876667",
            "telephone_number": "248-935-3364",
            "fax_number": "734-983-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W CANFORD PARK",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481876667",
            "telephone_number": "248-935-3364",
            "fax_number": "734-983-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "JACOB",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine McAuley Health Services
• Matthew Cavins
• Center for Healing and Happiness PC
• Center for Vein Restoration Mi PLLC
• Norman James Cepela, DDS
• Samah Chamamit, DDS
• Katherine Elizabeth Chambers, MD
• Rose Mary Chambers
• Ali Chami, DPM
• Liyana A Chandrapala

• Physical Therapist in Canton, MI
• Providers in Canton, 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 1, 2008; 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.