Individual provider Active NPI

Gorget Dous

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1053785311
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017447 Issued in MI
Practice address
6634 Chatham Cir
Rochester Hills, MI 48306-4383
Phone
(248) 892-9228
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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 5501017447 MI Primary

Addresses

Primary practice location

6634 Chatham Cir
Rochester Hills, MI 48306-4383

Mailing address

6634 Chatham Cir
Rochester Hills, MI 48306-4383
Phone (248) 892-9228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319002326 MI Practitioner - Physical Therapist in Private Practice 6103188792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence in Manual Physical Therapy LLCGroup PAC ID 6901166917, 2 clinicians

Practice addresses (Care Compare)

1907 E Wattles Rd
Troy, MI 48085-5083
Phone (248) 688-9209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501017447MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Apr 26, 2021 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Apr 26, 2021 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2510 S Telegraph Rd
Ste Ij
Bloomfield Hills, MI 48302
Phone (248) 335-2000

2510 S Telegraph Rd
Ste I
Bloomfield Hills, MI 48302
Phone (248) 335-2000

7164 N Main St
Clarkston, MI 48346
Phone (248) 625-6400

42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-2845

43475 Dalcoma Dr
Clinton Twp, MI 48038
Phone (586) 263-5043

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

4950 S Baldwin Rd
Lake Orion, MI 48359
Phone (248) 409-0576

425 N Park Blvd
Ste 100
Lake Orion, MI 48362
Phone (248) 693-6835

44200 Woodward Ave
Ste 114
Pontiac, MI 48341
Phone (248) 409-3300

2672 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 289-1785

35724 Van Dyke Ave
Sterling Heights, MI 48312
Phone (586) 698-0081

1949 W Maple Rd
Troy, MI 48084
Phone (248) 268-5497

1350 Kirts Blvd
Ste 120
Troy, MI 48084
Phone (248) 244-7927

7715 26 Mile Rd
Washington Twp, MI 48094
Phone (248) 650-4601

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1053785311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6634 CHATHAM CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064383",
            "telephone_number": "248-892-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6634 CHATHAM CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064383",
            "telephone_number": "248-892-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUS",
        "first_name": "GORGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.