Individual provider Active NPI

Bethany Ralph, DPT

  • Physical Therapist
  • Southfield, MI
National Provider Identifier
1083323844
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501301819 Issued in MI
Practice address
22255 Greenfield Rd
Southfield, MI 48075-3710
Phone
(248) 849-3907
Fax
(248) 849-5737
NPI assigned
Nov 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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 5501301819 MI Primary

Addresses

Primary practice location

22255 Greenfield Rd
Southfield, MI 48075-3710

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

5110 S Rural Rd Ste 104
Tempe, AZ 85282-7289
Phone (480) 222-0655

Other practice location 2

5620 Michigan Rd Ste A
Indianapolis, IN 46228-1750
Phone (317) 454-8593

Other practice location 3

14 McGrath Hwy Unit 5
Somerville, MA 02143-4505
Phone (617) 284-9418

Other practice location 4

2036 E Beltline Ave NE Ste A
Grand Rapids, MI 49525-8702
Phone (616) 885-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, MA, AZ, NV, DE, SC, MD, WA9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20231019003474 MI Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 1 organization
I20260219002560 IN Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 1 organization
I20260220003616 MA Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 1 organization
I20260226000885 AZ Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 1 organization
I20260312000225 NV Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 1 organization
I20260327002687 DE Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 1 organization
I20260423000371 SC Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 2 organizations
I20260501001175 MD Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 2 organizations
I20260522002160 WA Practitioner - Physical Therapist in Private Practice 9032565593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians
Michigan Rehabilitation Specialists of Fowlerville LLCGroup PAC ID 6204730393, 125 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Advanced Physical Therapy LLCGroup PAC ID 6002959525, 170 clinicians

Practice addresses (Care Compare)

100 Valley Ctr Rd
Wilmington, DE 19808-2950
Phone (302) 994-1200

11620 97TH LN NE
Kirkland, WA 98034-4269
Phone (425) 820-0869

14 McGrath Hwy
Unit 5
Somerville, MA 02143-4505
Phone (617) 284-9418

33566 W 8 Mile Rd a
Ati Physical Therapy
Farmington Hills, MI 48335-5271
Phone (248) 478-7330

5110 S Rural Rd
Suite 104
Tempe, AZ 85282-7289
Phone (480) 629-5549

5620 Michigan Rd
Suite a
Indianapolis, IN 46228-1750
Phone (317) 454-8593

7820 Wormans Mill Rd C
Ati Physical Therapy
Frederick, MD 21701-3037
Phone (240) 831-7664

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6948NVMDGeneral Practice Dentistry
5501301819MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Oct 9, 2023 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jan 30, 2026 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Oct 9, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Jan 30, 2026 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jan 13, 2026 Accepting new patients
Ideal Rehabilitation LLC PastSince Jan 13, 2026 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients

Locations (25 of 31)

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

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

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

5620 Michigan Rd
#A
Indianapolis, IN 46228
Phone (317) 454-8593

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

14 McGrath Hwy
Unit 5
Somerville, MA 02143
Phone (617) 284-9418

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

2625 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 585-3313

4765 Jackson Rd
Ste B
Ann Arbor, MI 48103
Phone (734) 926-4710

10415 Grand River Rd
Ste 300
Brighton, MI 48116
Phone (810) 229-6140

42955 Ford Rd
Canton, MI 48187
Phone (734) 981-2100

1110 S Main St
Chelsea, MI 48118
Phone (734) 593-3074

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

7057 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-1406

33566 W 8 Mile Rd
Ste A
Farmington Hills, MI 48335
Phone (248) 478-7330

23143 Woodward Ave
Ferndale, MI 48220
Phone (248) 268-5742

2036 E Beltline Ave NE
Ste A
Grand Rapids, MI 49525
Phone (616) 885-1194

19169 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 308-0913

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

14349 Telegraph Rd
Redford, MI 48239
Phone (313) 541-2886

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1083323844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22255 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753710",
            "telephone_number": "248-849-3907",
            "fax_number": "248-849-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5110 S Rural Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827289",
            "country_code": "US",
            "telephone_number": "480-222-0655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5620 Michigan Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462281750",
            "country_code": "US",
            "telephone_number": "317-454-8593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 McGrath Hwy Unit 5",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021434505",
            "country_code": "US",
            "telephone_number": "617-284-9418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2036 E Beltline Ave NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495258702",
            "country_code": "US",
            "telephone_number": "616-885-1194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALPH",
        "first_name": "BETHANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501301819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.