Active NPI
Michael Jordan Peres, DPT, PT
- Physical Therapist
- Waterford, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501303996
- Practice address
- 1187 W Huron St
Waterford, MI 48328-3736 - Phone
- (248) 977-4594
- Fax
- (248) 977-4597
- NPI assigned
- May 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501303996 | MI | Primary |
Addresses
Primary practice location
1187 W Huron St
Waterford, MI 48328-3736
Mailing address
1187 W Huron St
Waterford, MI 48328-3736
Phone (248) 977-4594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16925 Haggerty Rd
Northville, MI 48168-3955
Phone (248) 826-5600
21600 Novi Rd
400 Novi Doctors of PT
Novi, MI 48375-5605
Phone (248) 679-5396
41430 Grand River Ave
Suite B
Novi, MI 48375-1876
Phone (248) 826-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novi DPT LLC | Physical Therapist | Current | Accepting new patients |
| Dearborn Physical Therapy LTD. | Physical Therapist | Current | Accepting new patients |
| Dearborn Physical Therapy LTD. | Physical Therapist | Current | Accepting new patients |
Locations
23852 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-4222
18899 W 12 Mile Rd
Lathrup Village, MI 48076
Phone (248) 219-4772
21600 Novi Rd
Ste 400
Novi, MI 48375
Phone (248) 679-5396
1187 W Huron St
Waterford, MI 48328
Phone (248) 618-3050
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Advanced Physical Therapy
- Physical Therapist
- Troy, MI
- NPI 1598440083
-
- Physical Therapy Clinic/Center
- Novi, MI
- NPI 1932981446
-
- Physical Therapy Clinic/Center
- Northville, MI
- NPI 1447013941
-
dba Advanced Physical Therapy
- Physical Therapist
- Waterford, MI
- NPI 1316622806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1023809902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 W HURON ST",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283736",
"telephone_number": "248-977-4594",
"fax_number": "248-977-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 W HURON ST",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483283736",
"telephone_number": "248-977-4594",
"fax_number": "248-977-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERES",
"first_name": "MICHAEL",
"middle_name": "JORDAN",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-13",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501303996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.