Healthcare Provider Details

I. General information

NPI: 1518878438
Provider Name (Legal Business Name): THOMAS JOHN SABELLANO CASTANARES DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25572 SCHOENHERR RD
WARREN MI
48089-1420
US

IV. Provider business mailing address

32223 EASTWAY ST
ROSEVILLE MI
48066-1077
US

V. Phone/Fax

Practice location:
  • Phone: 888-277-3909
  • Fax: 888-350-3368
Mailing address:
  • Phone: 888-277-3909
  • Fax: 888-350-3368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501302031
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: