Organization Active NPI

MVPT Physical Therapy LLC

  • Physical Therapist
  • Bloomfield Township, MI
National Provider Identifier
1174366827
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MVPT PHYSICAL THERAPY LLC
Practice address
2085 Franklin Rd Ste B
Bloomfield Township, MI 48302-0054
Phone
(248) 874-4920
NPI assigned
Jun 18, 2024
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Dalton Greyerbiehl, DPTNPI 1104475474
Title
Owner
Phone
(248) 874-4920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2085 Franklin Rd Ste B
Bloomfield Township, MI 48302-0054

Mailing address

2500 Normandy Rd Unit 66
Royal Oak, MI 48073-1883
Phone (248) 874-4920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240726003393 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9234675190 Receives reassigned benefits from 3 practitioners
Practice locations: Bloomfield Township, MI

National Provider Directory

National Provider Directory

Locations

799 Denison Ct
Ste 150
Bloomfield Township, MI 48302
Phone (248) 874-4920

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1174366827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NORMANDY RD UNIT 66",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731883",
            "telephone_number": "248-874-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 FRANKLIN RD STE B",
            "city": "BLOOMFIELD TOWNSHIP",
            "state": "MI",
            "postal_code": "483020054",
            "telephone_number": "248-874-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVPT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "GREYERBIEHL",
        "authorized_official_first_name": "DALTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-874-4920",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.