Active NPI
Inder Kumar Thawani
- Physical Therapist
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501005784
- Practice address
- 2050 N Haggerty Rd
Suite 280
Canton, MI 48187-3795 - Phone
- (734) 844-0800
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 5501005784 | MI | Primary |
Addresses
Primary practice location
2050 N Haggerty Rd
Suite 280
Canton, MI 48187-3795
Mailing address
8241 Chatham Dr
Canton, MI 48187-4447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N20230001 | Other | MI | MEDICARE INDIVIDUAL NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2050 N Haggerty Rd
Suite 280
Canton, MI 48187-3796
Phone (734) 846-8590
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amber Home Health Care, Inc. | Current | Accepting new patients | |
| Amber Hospice Care, LLC | Current | Accepting new patients | |
| Wayne Neurology PLC | Current | Accepting new patients | |
| Heritage Home Health Care LLP | Past | Accepting new patients | |
| Functional Endocrinologist PLLC | Past | Accepting new patients |
Locations
34815 W Michigan Ave
Ste C
Wayne, MI 48184
Phone (734) 721-4739
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Amber Home Health Care, Inc. | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer Corporate Director W-2 Managing Employee |
Feb 7, 2004 Feb 7, 2004 Feb 7, 2004 Feb 7, 2004 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Southfield, MI
- NPI 1063477875
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
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 Therapist
- Canton, MI
- NPI 1720188584
-
- Home Health Agency
- Southfield, MI
- NPI 1063477875
-
- Community Based Hospice Care Agency
- Dearborn, MI
- NPI 1861955478
-
- Home Health Agency
- Sterling Heights, MI
- NPI 1194995449
-
- Neurology Physician
- Wayne, MI
- NPI 1659380863
-
- Endocrinology, Diabetes & Metabolism Physician
- Woodhaven, MI
- NPI 1265233514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1558401950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8241 CHATHAM DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481874447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 N HAGGERTY RD",
"address_2": "SUITE 280",
"city": "CANTON",
"state": "MI",
"postal_code": "481873795",
"telephone_number": "734-844-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAWANI",
"first_name": "INDER",
"middle_name": "KUMAR",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501005784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL NO.",
"identifier": "N20230001",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.