Active NPI
Thomas Syriac, PT
- Physical Therapist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501009312
- Practice address
- 40200 Grand River Ave Ste 400
Novi, MI 48375-2146 - Phone
- (248) 987-2855
- Fax
- (248) 957-6713
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 5501009312 | MI | |
| Physical Therapist | 225100000X | 5501009312 | MI | Primary |
Addresses
Primary practice location
40200 Grand River Ave Ste 400
Novi, MI 48375-2146
Mailing address
23989 Westmont Dr
Novi, MI 48374-3658
Other practice location 1
25500 Meadowbrook Rd
Suite 275
Novi, MI 48375-1878
Phone (248) 381-5784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952498180 | Other | MI | TYPE 2 NPI OF ALTERNATIVE REHAB INC |
| 1831461201 | Other | MI | TYPE 2 NPI OF INSPIRATIONS REHAB |
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
40200 Grand River Ave
Suite 400
Novi, MI 48375-2146
Phone (248) 987-2855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501009312 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Rehab, Inc | Single Specialty | Current | Accepting new patients |
| Trusted Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
| Michigan Luna Care Physical Therapy, LLC | Single Specialty | Current | Accepting new patients |
| 180 Degree Rehab LLC | Single Specialty | Current | Accepting new patients |
Locations
6558 Greenfield Rd
Dearborn, MI 48126
Phone (313) 581-1155
20319 Farmington Rd
Livonia, MI 48152
Phone (248) 476-8911
40200 Grand River Ave
Ste 400
Novi, MI 48375
Phone (248) 987-2855
25500 Meadowbrook Rd
Ste 275
Novi, MI 48375
Phone (248) 381-5777
Organizations & group practices 4
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
- Ann Arbor, MI
- NPI 1003448994
Single Specialty
-
- Physical Medicine & Rehabilitation Physician
- Dearborn, MI
- NPI 1194355008
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1932298643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23989 WESTMONT DR",
"city": "NOVI",
"state": "MI",
"postal_code": "483743658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40200 GRAND RIVER AVE STE 400",
"city": "NOVI",
"state": "MI",
"postal_code": "483752146",
"telephone_number": "248-987-2855",
"fax_number": "248-957-6713"
}
],
"practiceLocations": [
{
"address_1": "25500 Meadowbrook Rd",
"address_2": "Suite 275",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483751878",
"country_code": "US",
"telephone_number": "248-381-5784",
"fax_number": "248-476-8913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYRIAC",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "5501009312",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501009312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI OF ALTERNATIVE REHAB INC",
"identifier": "1952498180",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 2 NPI OF INSPIRATIONS REHAB",
"identifier": "1831461201",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.