Active NPI
Rajendran Thangamuthu, PT
- Physical Therapist
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501007987
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501007987 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Physical Therapy and Fitness | Current | Accepting new patients | |
| Aquaticare Physical Therapy P.C | Current | Accepting new patients | |
| Tmi East, Inc. | Current | Accepting new patients | |
| Creative Health, Inc. | Physical Therapist | Past | Accepting new patients |
| Indus Rehab Inc | Physical Therapist | Past | Accepting new patients |
| Gait and Balance Clinic | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Clinton Township, MI
- NPI 1336318120
MI
-
- Physical Therapy Assistant
- Clinton Township, MI
- NPI 1083019277
-
- Physical Therapist
- Clinton TWP, MI
- NPI 1144351180
-
- Physical Therapist
- Troy, MI
- NPI 1104957653
-
- Physical Therapist
- Clinton Township, MI
- NPI 1831383041
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.