Individual provider Active NPI

Bindu Thamman, PT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1447422605
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006347 Issued in MI
Practice address
1994 Tall Pines Dr SE
Grand Rapids, MI 49546-7922
Phone
(616) 942-0922
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501006347 MI Primary

Addresses

Primary practice location

1994 Tall Pines Dr SE
Grand Rapids, MI 49546-7922

Mailing address

1994 Tall Pines Dr SE
Grand Rapids, MI 49546-7922

Other identifiers 1

IdentifierTypeStateIssuer
5501006347OtherMISTATE OF MICHIGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090202000552 MI Practitioner - Physical Therapist in Private Practice 1658435870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Physical Therapy and Rehabilitation PCGroup PAC ID 6406910629, 2 clinicians

Practice addresses (Care Compare)

4930 Cascade Rd SE
Suite E
Grand Rapids, MI 49546-3884
Phone (616) 942-0922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Physical Therapy & Rehabilitation PC Physical Therapist CurrentSince Dec 15, 2008 Accepting new patients

Locations

4930 Cascade Rd SE
Ste E
Grand Rapids, MI 49546
Phone (616) 942-0922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1447422605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 TALL PINES DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1994 TALL PINES DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467922",
            "telephone_number": "616-942-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMMAN",
        "first_name": "BINDU",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501006347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN",
            "identifier": "5501006347",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.