Active NPI
Michael Manzo, DPT
- Physical Therapist
- White Lake, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 9278 Highland Rd Ste 12&13
White Lake, MI 48386-2385 - Phone
- (248) 387-8700
- Fax
- (248) 698-2046
- NPI assigned
- Aug 29, 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 | Primary |
Addresses
Primary practice location
9278 Highland Rd Ste 12&13
White Lake, MI 48386-2385
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9278 Highland Rd
Suite 12And13
White Lake, MI 48386-2385
Phone (248) 387-8700
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.78 of 100
- Quality
- 89.5
- Improvement activities
- 40
- Cost
- 71.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current | Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710
42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-2845
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
1501 N Milford Rd
Ste 201
Milford, MI 48381
Phone (248) 676-0666
29275 Northwestern Hwy
Ste 150
Southfield, MI 48034
Phone (248) 351-6300
7715 26 Mile Rd
Washington Twp, MI 48094
Phone (248) 650-4601
5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560
5159 Highland Rd
Ste 100
Waterford, MI 48327
9278 Highland Rd
Ste 1213
White Lake, MI 48386
Phone (248) 387-8700
Organizations & group practices 2
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.
-
- Physical Therapist
- Fowlerville, MI
- NPI 1669531166
-
- Durable Medical Equipment & Medical Supplies
- Dexter, MI
- NPI 1407525892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1285419135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9278 HIGHLAND RD STE 12&13",
"city": "WHITE LAKE",
"state": "MI",
"postal_code": "483862385",
"telephone_number": "248-387-8700",
"fax_number": "248-698-2046"
}
],
"practiceLocations": [
{
"address_1": "790 Remington Blvd",
"address_purpose": "LOCATION",
"city": "Bolingbrook",
"state": "IL",
"postal_code": "604404909",
"country_code": "US",
"telephone_number": "866-370-8206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANZO",
"first_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-29",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.