William Howorth
Individual provider Active NPI Physical Therapist · Okemos, MI
NPI 1275206641 · NPPES record last updated Sep 19, 2023
Key facts
- NPI
- 1275206641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 300123 (CA)
- Practice address
- 2301 W Grand River Ave
Okemos, MI 48864-1648 - Phone
- (517) 853-6800
- Fax
- (517) 853-6801
- NPI assigned
- Jul 30, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Performance Physical Therapy PLC
Practice addresses (Care Compare)
2301 W Grand River Ave
Okemos, MI 48864-1648
Phone (517) 853-6800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220714001143 | MI | Practitioner - Physical Therapist in Private Practice | 3779964341 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300123 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Physical Therapy, PLC | Physical Therapist | Current |
Accepting new patients |
| Ryan and Monica Wohlfert, PC | Current |
Accepting new patients |
Locations
7402 Westshire Dr
Ste 105
Lansing, MI 48917
Phone (517) 927-8718
2301 W Grand River Ave
Okemos, MI 48864
Phone 5178536800 ext. 2
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 300123 | CA | Yes |
Addresses
Primary practice location
2301 W Grand River Ave
Okemos, MI 48864-1648
Mailing address
33 Fuller Ave SE
Grand Rapids, MI 49506-1670
Phone (630) 881-3844
Other providers in Okemos, MI
- Varduhi Hovsepyan
- Mary Joann Howard
- Rodney Charles Howard
- Alison M Howie-Day
- Martha Catherine Howie
- Thomas E Hranilovich
- Eric Huang
- Patricia D Hughes
- Shyanne Hume
- Kyle David Huntey
All providers in Okemos, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.