Individual provider Active NPI

Thomas Vincent Dubay, PT, DPT

  • Orthopedic Physical Therapist
  • Marlette, MI
National Provider Identifier
1225452170
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5501016649 Issued in MI
Practice address
3105 Main St
Marlette, MI 48453-1508
Phone
(989) 635-3660
Fax
(989) 635-3662
NPI assigned
Feb 13, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 5501016649 MI Primary

Addresses

Primary practice location

3105 Main St
Marlette, MI 48453-1508

Mailing address

4351 24TH Ave Ste 1
Fort Gratiot, MI 48059-4506
Phone (810) 385-7405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140326000938 MI Practitioner - Physical Therapist in Private Practice 0042441511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munger Physical Therapy of Marysville PLCGroup PAC ID 9032554407, 3 clinicians

Practice addresses (Care Compare)

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
5501016649MIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Munger Physical Therapy of Marysville, PLC Orthopedic CurrentSince Dec 26, 2023 Accepting new patients
Munger Physical Therapy of Clinton Township, PLC Orthopedic PastSince Jul 24, 2022 Accepting new patients

Locations

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 3

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225452170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE STE 1",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480594506",
            "telephone_number": "810-385-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 MAIN ST",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531508",
            "telephone_number": "989-635-3660",
            "fax_number": "989-635-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAY",
        "first_name": "THOMAS",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501016649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.