NPIMap

Organization Active NPI

Theramatrix, Inc.

  • Physical Therapist
  • Pontiac, MI
National Provider Identifier
1760489678
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THERAMATRIX, INC.
Practice address
900 Auburn
Pontiac, MI 48342-3300
Phone
(248) 333-3335
Fax
(248) 333-0276
NPI assigned
Jul 7, 2005
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

900 Auburn
Pontiac, MI 48342-3300

Mailing address

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

Other names 1

  • Theramatrix Physical Therapy Other name

National Provider Directory

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

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1760489678",
    "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": "900 AUBURN",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423300",
            "telephone_number": "248-333-3335",
            "fax_number": "248-333-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMATRIX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-12-09",
        "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": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theramatrix Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.