Active NPI
Saravanan Chockalingam, PT
- Physical Therapist
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501006929
- Practice address
- 3901 Highland Rd
Suite -B
Waterford, MI 48328-2162 - Phone
- (248) 682-3933
- Fax
- (248) 888-0052
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501006929 | MI | Primary |
Addresses
Primary practice location
3901 Highland Rd
Suite -B
Waterford, MI 48328-2162
Mailing address
3901 Highland Rd
Suite -B
Waterford, MI 48328-2162
Phone (248) 682-3933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650F322970 | Other | MI | BCBS OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1209 10TH St
Suite D
Port Huron, MI 48060-5262
Phone (810) 662-3578
329 Columbia St
Suite B
Algonac, MI 48001-1543
Phone (810) 671-0018
3436 River Rd
Suite B
East China, MI 48054-2204
Phone (810) 637-8096
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Consultants,P.C. | Physical Therapist | Current | Accepting new patients |
| Center for Sports Medicine & Fitness, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
329 Columbia St
Ste B
Algonac, MI 48001
Phone (810) 671-0018
3436 S River Rd
Ste B
East China, MI 48054
Phone (810) 326-3540
1209 10th St
Ste D
Port Huron, MI 48060
Phone (810) 985-8170
3901 Highland Rd
Ste B
Waterford, MI 48328
Phone (248) 682-3225
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Waterford, MI
- NPI 1023395456
-
- Physical Therapist
- Lathrup Village, MI
- NPI 1164648432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1891725701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 HIGHLAND RD",
"address_2": "SUITE -B",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282162",
"telephone_number": "248-682-3933",
"fax_number": "248-888-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HIGHLAND RD",
"address_2": "SUITE -B",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483282162",
"telephone_number": "248-682-3933",
"fax_number": "248-888-0052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOCKALINGAM",
"first_name": "SARAVANAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501006929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "650F322970",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.