Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reenu Thankam Chacko

Individual provider Physical Therapist · NPI 1942325071

Reenu Thankam Chacko is a Physical Therapist in Private Practice in Redford, Michigan. Qualified in 2025, 1 year ago. Practices with Texas Physical Therapy Specialists, Inc, a 234-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2007
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Practice location Address checks out

14501 Telegraph
Redford, MI 48239
Phone: (313) 534-0300
Fax: (313) 534-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence RC013050 (MI)

Record details

NPI number1942325071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Texas Physical Therapy Specialists, Inc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Redford