Individual provider Active NPI

Inder Kumar Thawani

  • Physical Therapist
  • Canton, MI
National Provider Identifier
1558401950
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501005784 Issued in MI
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

Updated by the provider on Feb 22, 2008

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 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

IdentifierTypeStateIssuer
N20230001OtherMIMEDICARE INDIVIDUAL NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000131 MI Practitioner - Physical Therapist in Private Practice 6709871932 Reassigns benefits to 1 organization

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
Medstar Rehabilitation Inc.Group PAC ID 1456346683, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Amber Home Health Care, Inc. Current Accepting new patients
Amber Hospice Care, LLC Current Accepting new patients
Wayne Neurology PLC CurrentSince Dec 10, 2012 Accepting new patients
Heritage Home Health Care LLP PastSince Feb 27, 2008 Accepting new patients
Functional Endocrinologist PLLC PastSince Mar 1, 2025 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.

FacilityTypeRoleSince
Amber Home Health Care, Inc.Southfield, MI, CCN 237527 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.

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": "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

Verify at the official NPI Registry.