Provider Demographics
NPI:1023395456
Name:THERAPY CONSULTANTS,P.C.
Entity Type:Organization
Organization Name:THERAPY CONSULTANTS,P.C.
Other - Org Name:FYZICAL THERAPY & BALANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SARAVANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOCKALIGAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:248-722-8983
Mailing Address - Street 1:3901 HIGHLAND RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-2162
Mailing Address - Country:US
Mailing Address - Phone:248-682-3933
Mailing Address - Fax:
Practice Address - Street 1:3901 HIGHLAND RD
Practice Address - Street 2:SUITE B
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-2162
Practice Address - Country:US
Practice Address - Phone:248-682-3933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-14
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIMI5799Medicare PIN