Betty Kallis Gusho

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501300666 Issued in MI

Practice address

26091 Sherwood Ave
Suite 114
Warren, MI 48091-6602

Phone

(586) 755-4711

Fax

(586) 755-7211

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holistic Therapy Institute Physical Therapy IncGroup PAC ID 0648503375, 2 clinicians

Holistic Healing Centers of Michigan Inc.Group PAC ID 4082882345, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Holistic Healing Centers of Michigan Inc.

  • Orthopedic Physical Therapist
  • W Bloomfield, MI
  • NPI 1306169743
  Medicare reassignment Care Compare group NPD
• Holistic Therapy Institute Physical Therapy, Inc.

  • Physical Therapist
  • Madison HTS, MI
  • NPI 1538624960
  Medicare reassignment Care Compare group NPD
• Elite Rehab

  • Physical Therapist
  • Warren, MI
  • NPI 1376512020
  NPD (past) Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1134311657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 LYONHURST ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091015",
            "telephone_number": "248-644-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26091 SHERWOOD AVE",
            "address_2": "SUITE 114",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480916602",
            "telephone_number": "586-755-4711",
            "fax_number": "586-755-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSHO",
        "first_name": "BETTY",
        "middle_name": "KALLIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501300666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximilian Gundershausen, M.D.
• Raghuvardhan Reddy Gunukula
• Anupama Gupta
• Ayush Gupta, MD
• Bal Krishan Gupta, MD
• Bradley Frank Gutierrez, DO
• Dana Guy
• Cynthia Guzi, CTRS
• H & R Home Care LLC
• H and S Clinical Services

• Physical Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.