Active NPI
Brent Cheyne, DPT
- Physical Therapist
- Plymouth, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501302027
- Practice address
- 47635 Five Mile Rd
Plymouth, MI 48170-2418 - Phone
- (734) 489-6254
- Fax
- (734) 418-7356
- NPI assigned
- Feb 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501302027 | MI | Primary |
Addresses
Primary practice location
47635 Five Mile Rd
Plymouth, MI 48170-2418
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47635 Five Mile Rd
Plymouth, MI 48170-2418
Phone (734) 489-6254
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501302027 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Michigan, LLC | Physical Therapist | Current | Accepting new patients |
Locations
135 S Milford Rd
Ste 307
Milford, MI 48381
135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272
2085 W Grand River Ave
Ste C
Okemos, MI 48864
Phone (517) 246-2626
1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730
1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730
47635 Five Mile Rd
Plymouth, MI 48170
Phone (734) 489-6254
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Fenton, MI
- NPI 1104337120
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1275239204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47635 FIVE MILE RD",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702418",
"telephone_number": "734-489-6254",
"fax_number": "734-418-7356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEYNE",
"first_name": "BRENT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-01",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501302027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.