Individual provider Active NPI

Thomas Syriac, PT

  • Physical Therapist
  • Novi, MI
National Provider Identifier
1932298643
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009312 Issued in MI
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

Updated by the provider on May 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1952498180OtherMITYPE 2 NPI OF ALTERNATIVE REHAB INC
1831461201OtherMITYPE 2 NPI OF INSPIRATIONS REHAB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220000478 MI Practitioner - Physical Therapist in Private Practice 9234369158 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
5501009312MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Rehab, Inc Single Specialty CurrentSince Jun 1, 2014 Accepting new patients
Trusted Physical Therapy LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Michigan Luna Care Physical Therapy, LLC Single Specialty CurrentSince May 22, 2023 Accepting new patients
180 Degree Rehab LLC Single Specialty CurrentSince Apr 10, 2019 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.

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.

Verify at the official NPI Registry.