THERAMATRIX, INC (NPI# 1720236276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720236276 |
| Entity Type | Organization |
| Organization Name | THERAMATRIX, INC |
| Other Organization Name | THERAMATRIX PHYSCIAL THERAPY |
| Practice Address |
24611 Greenfield Road Southfield MI 48075-3058 |
| Mailing Address |
900 Auburn Ave Pontiac MI 48342-3300 |
| Practice Telephone | 2485570126 |
| Practice Fax Number | 2485571113 |
| Mailing Telephone | 2483333335 |
| Mailing Fax Number | 2483330276 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2016-10-21 |
| Authorized Official Name | MR. RICHARD WHITTON (CEO) |
| Authorized Official Telephone | 2483333335 |
| Is Organization Subpart | Y |
| Parent Organization Name | THERAMATRIX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Theramatrix Physcial Therapy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780832220 | Theramatrix, Inc | Clinic/Center | 12855 Dix Toledo Rd, Southgate, MI 48195-1744 | 2008-09-08 |
| Street Address |
24611 GREENFIELD ROAD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295744472 | Sacred Hope Center, Inc | Clinic/Center | 17333 W 10 Mile Rd, Southfield, MI 48075-2901 | 2006-08-05 |
| 1548627847 | Live Well Health LLC | Clinic/Center | 15565 Northland Dr, Suite 103w-b, Southfield, MI 48075 | 2016-01-19 |
| 1972904209 | Irvine Neuro Rehabilitation | Clinic/Center | 25700 Lahser Rd, Southfield, MI 48033 | 2014-09-05 |
| 1063857100 | Orthopedic Medical Recreation | Clinic/Center | 15600 W 12 Mile Rd, Southfield, MI 48076-3068 | 2013-05-02 |
| 1376814699 | Visiting Physicians, PC | Clinic/Center | 17260 W 10 Mile Rd, Southfield, MI 48075-2949 | 2012-01-18 |
| 1013240662 | American Current Care of Michigan, P.C. | Clinic/Center | 26185 Greenfield Rd, Southfield, MI 48076-4709 | 2009-09-15 |
| 1093943615 | Providence Hospital | Clinic/Center | 22250 Providence Dr, Suite 500, Southfield, MI 48075-4825 | 2009-06-23 |
| 1427284447 | Obo Incorporated | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| 1306072327 | Lopez & Associates Inc | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| 1962651737 | Pjr & Associated Inc | Clinic/Center | 15700 W 10 Mile Rd, 213, Southfield, MI 48075-2149 | 2008-09-16 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.