Individual provider Active NPI

Saravanan Chockalingam, PT

  • Physical Therapist
  • Waterford, MI
National Provider Identifier
1891725701
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501006929 Issued in MI
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

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
650F322970OtherMIBCBS OF MI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001275 MI Practitioner - Physical Therapist in Private Practice 4981682424 Reassigns benefits to 1 organization

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
Therapy Consultants,P.C.Group PAC ID 7012172455, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Therapy Consultants,P.C. Physical Therapist CurrentSince May 21, 2008 Accepting new patients
Center for Sports Medicine & Fitness, Inc. Physical Therapist PastSince Apr 30, 2003 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.

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.

Verify at the official NPI Registry.