Individual provider Active NPI

Daniel Crispin Phelps, PT, DPT

  • Physical Therapist
  • Ann Arbor, MI
National Provider Identifier
1124373337
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501015947 Issued in MI
Practice address
203 S Zeeb Rd
#205
Ann Arbor, MI 48103-8326
Phone
(734) 929-6400
NPI assigned
Jul 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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 5501015947 MI Primary

Addresses

Primary practice location

203 S Zeeb Rd
#205
Ann Arbor, MI 48103-8326

Mailing address

2509 Packard St
Apt C
Ann Arbor, MI 48104-6805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121127000161 MI Practitioner - Physical Therapist in Private Practice 7214188143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

2577 Jackson Ave
Ann Arbor, MI 48103-3818
Phone (734) 929-6400

3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501015947MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Probility Therapy Services CurrentSince Sep 1, 2015 Accepting new patients
Probility Therapy Services Physical Therapist CurrentSince Sep 1, 2015 Accepting new patients

Locations

2577 Jackson Ave
Ann Arbor, MI 48103
Phone (734) 929-6400

203 S Zeeb Rd
Ste 205
Ann Arbor, MI 48103
Phone (734) 929-6400

2058 S State St
Ann Arbor, MI 48104
Phone (734) 913-0300

7575 Grand River Rd
Brighton, MI 48114
Phone (810) 844-7544

3145 W Clark Rd
Ste 102
Ypsilanti, MI 48197
Phone (734) 528-9760

3145 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 528-9760

Organizations & group practices 2

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1124373337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 PACKARD ST",
            "address_2": "APT C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S ZEEB RD",
            "address_2": "#205",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038326",
            "telephone_number": "734-929-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DANIEL",
        "middle_name": "CRISPIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.