Individual provider Active NPI

Markus M Munger

  • Physical Therapist
  • Fort Gratiot, MI
National Provider Identifier
1225219561
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004051 Issued in MI
Practice address
4351 24TH Ave
Suite 1
Fort Gratiot, MI 48059-4506
Phone
(810) 385-7405
Fax
(810) 385-7420
NPI assigned
Nov 15, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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 004051 MI Primary

Addresses

Primary practice location

4351 24TH Ave
Suite 1
Fort Gratiot, MI 48059-4506

Mailing address

4351 24TH Ave Ste 5
Fort Gratiot, MI 48059-4506
Phone (810) 385-7405

Other identifiers 1

IdentifierTypeStateIssuer
65-0-G4-1223-0OtherMIBLUE CROSS AND BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000290 MI Practitioner - Physical Therapist in Private Practice 9436229077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munger Physical Therapy PLCGroup PAC ID 6204906852, 6 clinicians
Munger Physical Therapy of Marysville PLCGroup PAC ID 9032554407, 3 clinicians

Practice addresses (Care Compare)

44925 Morley Dr
Clinton Township, MI 48036-1354
Phone (586) 846-4320

782 Huron Blvd
Suite 4
Marysville, MI 48040-1499
Phone (810) 990-8612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004051MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Munger Physical Therapy, PLC Physical Therapist CurrentSince May 12, 2008 Accepting new patients
Munger Physical Therapy of Marysville, PLC Physical Therapist CurrentSince Jan 4, 2026 Accepting new patients
Dequindre Physical Therapy & Rehab Service Inc. PastSince Feb 21, 2014 Accepting new patients

Locations

44925 Morley Dr
Clinton Twp, MI 48036
Phone (586) 846-4320

4351 24th Ave
Ste 1
Fort Gratiot, MI 48059
Phone (810) 385-7405

4351 24th Ave
Ste 5
Fort Gratiot, MI 48059
Phone (810) 385-7405

782 Huron Blvd
Ste 4
Marysville, MI 48040
Phone (810) 385-7405

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1225219561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE STE 5",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594506",
            "telephone_number": "810-385-7405",
            "fax_number": "810-385-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE",
            "address_2": "SUITE 1",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594506",
            "telephone_number": "810-385-7405",
            "fax_number": "810-385-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGER",
        "first_name": "MARKUS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "004051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "65-0-G4-1223-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gratiot, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.