Gillian Deyoung, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5501004151 Issued in MI

Practice address

3665 E 11 Mile Rd
Suite B
Warren, MI 48092-4300

Phone

(586) 755-4711

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Healing Centers of Michigan Inc.

  • Orthopedic Physical Therapist
  • W Bloomfield, MI
  • NPI 1306169743
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1003150111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30704 DELTON ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712109",
            "telephone_number": "248-585-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 E 11 MILE RD",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924300",
            "telephone_number": "586-755-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYOUNG",
        "first_name": "GILLIAN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501004151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lani Devaney, D.O.
• Marchelle Devine
• Lingareddy Devireddy, MD
• Devoted Dental Group Warren PLLC
• Stephen F Dewitt, MD
• Dhafer S. Salama M.D. P.C.
• Gundip Singh Dhillon, DO
• Lydia Di Iorio-Rhoton
• Diab & Kinner Internal Medicine, P.C.
• Chaker H Diab, DO

• Orthopedic Physical Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Orthopedic Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.