Theramedic Rehab Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

THERAMEDIC REHAB INC.

Practice address

12603 Southwest Fwy Ste 101
Stafford, TX 77477-3841

Phone

(248) 565-4000

Fax

(248) 565-4030

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Pankaj Mamtora, PTNPI 1104123561

Title

Administrator

Phone

(248) 565-4040

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pankaj Mamtora, R.P.T.

  • Physical Therapist
  • Southfield, MI
  • NPI 1104123561
  NPD Authorized official
• Dara Ann Johanson, P.T.

  • Physical Therapist
  • Webster, TX
  • NPI 1487709358
  NPD
• Samirkumar Dave, P.T.

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1336538271
  NPD (past)
• Rohan Oza, PT

  • Physical Therapist
  • Southfield, MI
  • NPI 1346640216
  NPD (past)
• Jaydeep Patel, P.T.

  • Physical Therapist
  • Shelby Township, MI
  • NPI 1548659147
  NPD (past)
• Manya Saxena

  • Physical Therapist
  • Southfield, MI
  • NPI 1932612520
  NPD (past)

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1902104607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 101",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12603 SOUTHWEST FWY STE 101",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773841",
            "telephone_number": "248-565-4000",
            "fax_number": "248-565-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAMEDIC REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "MAMTORA",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-565-4040",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Eyeglass Repair Guys LLC
• The Medinjury Clinic
• The Sweetest Stuff, LLC
• Paul Alan Theiler, R.PH.
• Theramedic Rehab and Physical Therapy LLC
• Therapeutic Counseling Solutions, PLLC
• David Paul Thies
• Pulcharia Thompson, FNP
• Grace Thomson
• Haleigh Thornley

• Rehabilitation Clinic/Center in Stafford, TX
• Providers in Stafford, TX by specialty
• Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.