Individual provider Active NPI

Raneen Allos, PT, DPT

  • Physical Therapist
  • Sterling Heights, MI
National Provider Identifier
1043040058
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501303131 Issued in MI
Practice address
13331 15 Mile Rd
Sterling Heights, MI 48312-4210
Phone
(586) 978-0376
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501303131 MI Primary

Addresses

Primary practice location

13331 15 Mile Rd
Sterling Heights, MI 48312-4210

Mailing address

3160 Firestone Dr
Sterling Heights, MI 48310-6026
Phone (248) 303-0570

Other practice location 1

10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830003222 MI Practitioner - Physical Therapist in Private Practice 3577002708 Reassigns benefits to 2 organizations

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
Level 11 Physical TherapyGroup PAC ID 8527104835, 23 clinicians

Practice addresses (Care Compare)

10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686

13331 15 Mile Rd
Sterling Heights, MI 48312-4210
Phone (586) 978-0376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501303131MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Level 11 Physical Therapy Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

10483 Dixie Hwy
Holly, MI 48442
Phone (810) 498-2301

13331 15 Mile Rd
Sterling Heights, MI 48312
Phone (586) 788-0702

3420 West Rd
Trenton, MI 48183
Phone (734) 215-9569

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1043040058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 FIRESTONE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106026",
            "telephone_number": "248-303-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 15 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124210",
            "telephone_number": "586-978-0376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10483 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Holly",
            "state": "MI",
            "postal_code": "484429311",
            "country_code": "US",
            "telephone_number": "810-771-7686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLOS",
        "first_name": "RANEEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.

Verify at the official NPI Registry.