REENU THANKAM CHACKO – Physical Medicine & Rehabilitation Physician, NPI 1942325071
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI
Provider Addresses for REENU THANKAM CHACKO
1800 W BIG BEAVER RD
STE 150
TROY, MI 48084
Phone: (248) 649-2323
Fax: (248) 649-5998
Type: Mailing
1800 W BIG BEAVER RD STE 150
TROY, MI 480843535
Phone: (248) 649-2323
Fax: (248) 649-5998
Type: Mailing
14501 TELEGRAPH
REDFORD, MI 48239
Phone: (313) 534-0300
Fax: (313) 534-6408
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251020000556 | I | Physical Therapist In Private Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 26 | 14 | $0 |
| 97530 | Therapy procedure using functional activities | 19 | 11 | $0 |
Insurance plans in this area (ZIP 48084)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | MI | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2285 | 125 |
| PHYSICAL THERAPY | MI | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 340 | 87 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | TX | |
| Physical Therapist In Private Practice | KY | |
| - | TX | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | TX | |
| - | TX |
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