| Reenu Thankam Chacko, | |
|
14501 Telegraph, Redford, MI 48239 | |
| (313) 534-0300 | |
| (313) 534-6408 |
| Full Name | Reenu Thankam Chacko |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 1 Years |
| Location | 14501 Telegraph, Redford, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942325071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | RC013050 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Physical Therapy Specialists, Inc | 2567422538 | 238 |
| Austin Integrative Medical Group Pllc | 1850613431 | 9 |
| Provider Name | Texas Physical Therapy Specialists, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1689781338 PECOS PAC ID: 2567422538 Enrollment ID: O20041013001437 |
| Provider Name | Austin Integrative Medical Group PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285035972 PECOS PAC ID: 1850613431 Enrollment ID: O20141210000976 |
| Mailing Address | Practice Location Address |
|---|---|
| Reenu Thankam Chacko, 1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535 Ph: (248) 649-2323 | Reenu Thankam Chacko, 14501 Telegraph, Redford, MI 48239 Ph: (313) 534-0300 |
Ann Leigh Macks, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25122 Donald, Redford, MI 48239 Phone: 313-387-3676 |
Mustafa Ettaher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14615 Telegraph Rd, Redford, MI 48239 Phone: 313-334-4298 Fax: 313-209-7676 |
Peak Function Physical Therapy And Sports Performance Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16285 Pomona Drive, Redford, MI 48240 Phone: 248-533-5318 |
Specialist Rehabilitation Services, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25941 W 6 Mile Rd, Suite W, Redford, MI 48240 Phone: 248-396-0929 Fax: 248-661-9586 |
Calley B Keithler, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14615 Telegraph Rd # 1, Redford, MI 48239 Phone: 313-334-4298 Fax: 313-209-7676 |
Tamara Sheree Rogers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14349 Telegraph Rd, Redford, MI 48239 Phone: 313-541-2886 Fax: 313-541-2887 |
Hardik R Patel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15540 Beech Daly Rd, Redford, MI 48239 Phone: 313-537-1110 Fax: 313-537-2299 |