Individual provider Active NPI

Rajendran Thangamuthu, PT

  • Physical Therapist
  • Clinton TWP, MI
National Provider Identifier
1457403446
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501007987 Issued in MI
Practice address
43351 Commons Dr
Clinton TWP, MI 48038-1109
Phone
(586) 228-7000
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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 5501007987 MI Primary

Addresses

Primary practice location

43351 Commons Dr
Clinton TWP, MI 48038-1109

Mailing address

15501 Metropolitan Pkwy
Ste 102
Clinton TWP, MI 48036-1684
Phone (586) 228-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040520001413 MI Practitioner - Physical Therapist in Private Practice 7214928290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aquaticare Physical Therapy PC 6 clinicians

Practice addresses (Care Compare)

20554 Hall Rd
Clinton Township, MI 48038-5326
Phone (586) 868-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501007987MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy and Fitness CurrentSince Mar 17, 2008 Accepting new patients
Aquaticare Physical Therapy P.C CurrentSince Mar 17, 2008 Accepting new patients
Tmi East, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Creative Health, Inc. Physical Therapist PastSince Feb 24, 2003 Accepting new patients
Indus Rehab Inc Physical Therapist Past Accepting new patients
Gait and Balance Clinic Physical Therapist PastSince May 19, 2004 Accepting new patients

Locations

53 W Long Lake Rd
Bloomfield Hills, MI 48304
Phone (248) 742-7000

20554 Hall Rd
Clinton Twp, MI 48038
Phone (586) 598-1247

15501 Metropolitan Pkwy
Ste 102
Clinton Twp, MI 48036
Phone (586) 228-7000

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

Organizations & group practices 6

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511308800000",
    "number": "1457403446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "STE 102",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-228-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43351 COMMONS DR",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381109",
            "telephone_number": "586-228-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGAMUTHU",
        "first_name": "RAJENDRAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.