NPIMap

Organization Active NPI

Pro-Motion Physical Therapy, PLLC

  • Physical Therapist
  • Brighton, MI
National Provider Identifier
1174832083
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRO-MOTION PHYSICAL THERAPY, PLLC
Practice address
205 W Grand River Ave
Ste 201
Brighton, MI 48116-1647
Phone
(248) 514-3112
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Authorized official

Name
Vincent Paul BaylerianNPI 1336150622
Title
Member
Phone
(248) 514-3112

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

205 W Grand River Ave
Ste 201
Brighton, MI 48116-1647

Mailing address

6412 Black Walnut St
Brighton, MI 48116-6724

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118001303 MI Part B Supplier - Clinic/Group Practice 2668661943 Receives reassigned benefits from 4 practitioners
Practice locations: Brighton, MI

National Provider Directory

National Provider Directory

Locations

205 W Grand River Ave
Ste 201
Brighton, MI 48116
Phone (810) 588-4133

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293494400000",
    "number": "1174832083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 BLACK WALNUT ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W GRAND RIVER AVE",
            "address_2": "STE 201",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161647",
            "telephone_number": "248-514-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MOTION PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-12-28",
        "status": "A",
        "authorized_official_last_name": "BAYLERIAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-514-3112"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.