NPIMap

Organization Active NPI

Theramax Rehab, Inc

  • Occupational Therapist
  • Troy, MI
National Provider Identifier
1851458608
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
THERAMAX REHAB, INC
Practice address
2300 Grand Haven Dr
Troy, MI 48083-4418
Phone
(586) 335-8182
Fax
(248) 757-2330
NPI assigned
Jan 2, 2007
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Gulshan ChandnaNPI 1376693473
Title
Owner
Phone
(248) 417-3646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Geriatric Physical Therapist 2251G0304X NU
Occupational Therapist 225X00000X NU Primary
Gerontology Occupational Therapist 225XG0600X NU

Addresses

Primary practice location

2300 Grand Haven Dr
Troy, MI 48083-4418

Mailing address

3381 Hidden Oaks LN
West Bloomfield, MI 48324-3256
Phone (586) 335-8182

Other practice location 1

18760 E 13 Mile Rd
Roseville, MI 48066-1326
Phone (586) 335-8182

Other practice location 2

17255 Common Rd
Roseville, MI 48066-1954
Phone (586) 335-8182

Other practice location 3

3381 Hidden Oaks Ln
West Bloomfield, MI 48324-3256
Phone (586) 335-8182

Other practice location 4

29250 Heritage Pkwy
Warren, MI 48092-6350
Phone (586) 335-8182

Other practice location 5

33433 Schoenherr Rd Apt 201
Sterling Heights, MI 48312-6366
Phone (586) 335-8182

Other practice location 6

36430 Van Dyke Ave
Sterling Heights, MI 48312-2746
Phone (586) 335-8182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000312 MI Part B Supplier - Clinic/Group Practice 9739282278 Receives reassigned benefits from 10 practitioners
Practice locations: Roseville, MI; West Bloomfield, MI; Warren, MI; Troy, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

36430 Van Dyke Ave
Sterling Heights, MI 48312
Phone (586) 480-1391

36430 Van Dyke Ave
Fl 3
Sterling Heights, MI 48312

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1851458608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 HIDDEN OAKS LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243256",
            "telephone_number": "586-335-8182",
            "fax_number": "248-779-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GRAND HAVEN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480834418",
            "telephone_number": "586-335-8182",
            "fax_number": "248-757-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18760 E 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480661326",
            "country_code": "US",
            "telephone_number": "586-335-8182",
            "fax_number": "248-757-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17255 Common Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480661954",
            "country_code": "US",
            "telephone_number": "586-335-8182",
            "fax_number": "248-757-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3381 Hidden Oaks Ln",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483243256",
            "country_code": "US",
            "telephone_number": "586-335-8182",
            "fax_number": "248-779-7543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29250 Heritage Pkwy",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480926350",
            "country_code": "US",
            "telephone_number": "586-335-8182",
            "fax_number": "248-757-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33433 Schoenherr Rd Apt 201",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483126366",
            "country_code": "US",
            "telephone_number": "586-335-8182",
            "fax_number": "248-757-2330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36430 Van Dyke Ave",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483122746",
            "country_code": "US",
            "telephone_number": "586-335-8182",
            "fax_number": "248-757-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THERAMAX REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "CHANDNA",
        "authorized_official_first_name": "GULSHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-417-3646"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.