Active NPI
Chandra T Charlton, P.T.
- Physical Therapist
- Southfield, MI
National Provider Identifier
1609106871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501014384
- Practice address
- 26025 Lahser Rd
Suite 100
Southfield, MI 48033-2606 - Phone
- (248) 663-1906
- Fax
- (248) 663-1903
- NPI assigned
- Jan 11, 2010
- Sex
- Female
- 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 | 5501014384 | MI | Primary |
Addresses
Primary practice location
26025 Lahser Rd
Suite 100
Southfield, MI 48033-2606
Mailing address
33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100
Other names 1
- Chandra T Thomas
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23965 Novi Rd
Suite 150
Novi, MI 48375-0203
Phone (248) 513-3730
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501014384 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neil King Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
23965 Novi Rd
Ste 150
Novi, MI 48375
Phone (248) 344-1777
141 Hampton Cir
Rochester Hills, MI 48307
Phone (248) 583-7555
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.
-
- Physical Therapist
- Rochester Hills, MI
- NPI 1275756942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1609106871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE",
"address_2": "SUITE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26025 LAHSER RD",
"address_2": "SUITE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480332606",
"telephone_number": "248-663-1906",
"fax_number": "248-663-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLTON",
"first_name": "CHANDRA",
"middle_name": "T",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-11",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501014384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHANDRA",
"last_name": "THOMAS",
"middle_name": "T",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.