NPIMap

Organization Active NPI

Theramatrix, Inc.

  • Clinic/Center
  • Livonia, MI
National Provider Identifier
1790933323
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THERAMATRIX, INC.
Practice address
18340 Middlebelt Road
Livonia, MI 48152-0089
Phone
(248) 442-0030
Fax
(248) 442-0089
NPI assigned
Sep 8, 2008
Last updated
Dec 9, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
THERAMATRIX, INC.As reported in NPPES

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

18340 Middlebelt Road
Livonia, MI 48152-0089

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
Part of
Theramatrix Physical Therapy

Other organizations with this tax ID 11

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

Locations

18340 Middlebelt Rd
Livonia, MI 48152
Phone (248) 442-0030

900 Auburn Ave
Pontiac, MI 48342
Phone (248) 332-8600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1481241600000",
    "number": "1790933323",
    "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": "18340 MIDDLEBELT ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481520089",
            "telephone_number": "248-442-0030",
            "fax_number": "248-442-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMATRIX, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAMATRIX, INC.",
        "enumeration_date": "2008-09-08",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theramatrix Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Livonia, 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.