Therapy Source, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

6801092718 Issued in MI

Legal business name

THERAPY SOURCE, INC.

Practice address

2650 Grindley Park
Dearborn, MI 48124

Phone

(507) 219-1079

NPI assigned

Nov 24, 2015

Last updated

Nov 24, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melissa Ingui

Title

Senior Credentialing Specialist

Phone

(484) 342-2000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1619341930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 GRINDLEY PARK",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "507-219-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 GRINDLEY PARK",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "507-219-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "INGUI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "484-342-2000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6801092718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Zabelle Home, LLC
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• Therapeutic Insights, PLLC
• Michael Andre Thibault Jr.
• Michael J. Thibodeau, M.D.
• Grant Daniel Thimesch, DO
• Thomas S. Siegel, M.D.P.C.
• Thomas W Moses DC PC

• Case Management Agency in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.