Rodney P. Goble, MPT
Individual provider Active NPI Physical Therapist · Brighton, MI
NPI 1063405462 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1063405462
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501010295 (MI)
- Practice address
- 9299 Goble
Brighton, MI 48116-8700 - Phone
- (810) 772-9062
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010295 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Physical Therapy | Physical Therapist | Current |
Accepting new patients |
| Michigan Rehabilitation Specialists of Webberville, Inc. | Physical Therapist | Past |
Accepting new patients |
| Running Institute of Michigan Rehabilitation Specialists LLC | Physical Therapist | Past |
Accepting new patients |
| Michigan Rehabilitation Specialists of Pinckney LLC | Physical Therapist | Past |
Accepting new patients |
| Michigan Rehabilitation Specialists House Calls, P.C. | Physical Therapist | Past |
Accepting new patients |
| Kensington Valley Orthotic & Sports Services | Past | Accepting new patients |
Locations
9299 Goble
Brighton, MI 48116
Phone (248) 885-2302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010295 | MI | Yes |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
9299 Goble
Brighton, MI 48116-8700
Mailing address
8501 Winans Lake Rd
Brighton, MI 48116-8223
Phone (810) 772-9062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650D757050 | Other | MI | BCBS |
Other providers in Brighton, MI
- Erika Giordano
- Peter Albert Girz
- Daniel B. Gisslen
- Giulio J Cogo DC PC
- Jennifer Glamann
- Matthew Godin
- Lee Kevin Gold
- Alan David Goldberg
- Marc Goldman
- Maria Golemo
All providers in Brighton, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.