Individual provider Active NPI

Gail Bakalis Meerschaert, PT

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1104982792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501003503 Issued in MI
Practice address
31700 Van Dyke Ave
Suite 160
Warren, MI 48093-7949
Phone
(586) 276-8001
Fax
(586) 276-8002
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5501003503 MI Primary

Addresses

Primary practice location

31700 Van Dyke Ave
Suite 160
Warren, MI 48093-7949

Mailing address

14642 Emerson Dr
Sterling Heights, MI 48312-5757
Phone (586) 276-8001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501003503MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates, PC CurrentSince Jun 1, 2019 Accepting new patients
University Neurosurgical Associates PC CurrentSince Jun 1, 2019 Accepting new patients
Medcare Inc CurrentSince Nov 1, 2017 Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

42450 Hayes Rd
Ste 100
Clinton Twp, MI 48038
Phone (248) 649-2323

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

1500 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323

2243 E 12 Mile Rd
Warren, MI 48092
Phone (586) 573-8100

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104982792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14642 EMERSON DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483125757",
            "telephone_number": "586-276-8001",
            "fax_number": "586-276-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE",
            "address_2": "SUITE 160",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-276-8001",
            "fax_number": "586-276-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEERSCHAERT",
        "first_name": "GAIL",
        "middle_name": "BAKALIS",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501003503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.