NPIMap

Organization Active NPI

Theramatrix, Inc

  • Clinic/Center
  • Southfield, MI
National Provider Identifier
1720236276
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THERAMATRIX, INC
Practice address
24611 Greenfield Road
Southfield, MI 48075-3058
Phone
(248) 557-0126
Fax
(248) 557-1113
NPI assigned
Sep 8, 2008
Organization subpart
Yes
Parent organization
THERAMATRIX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Mr. Richard Whitton
Title
Ceo
Phone
(248) 333-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

24611 Greenfield Road
Southfield, MI 48075-3058

Mailing address

900 Auburn Ave
Pontiac, MI 48342-3300
Phone (248) 333-3335

Other names 1

  • Theramatrix Physcial Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Theramatrix Inc12 organizations share this tax ID, including this one
Part of
Theramatrix Inc

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1720236276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423300",
            "telephone_number": "248-333-3335",
            "fax_number": "248-333-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24611 GREENFIELD ROAD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753058",
            "telephone_number": "248-557-0126",
            "fax_number": "248-557-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMATRIX, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAMATRIX, INC.",
        "enumeration_date": "2008-09-08",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "WHITTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-333-3335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theramatrix Physcial Therapy",
            "code": "5",
            "type": "Other 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 Oct 21, 2016; 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.