Active NPI
Katherine T Hrisoulis, PT
- Physical Therapist
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501015517
- Practice address
- 48800 Romeo Plank Rd
Macomb, MI 48044-2159 - Phone
- (586) 997-7100
- Fax
- (586) 997-7101
- NPI assigned
- Mar 16, 2011
- Sex
- Female
- 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 | 5501015517 | MI | Primary |
Addresses
Primary practice location
48800 Romeo Plank Rd
Macomb, MI 48044-2159
Mailing address
33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Phone (586) 350-2644
Other practice location 1
50625 Van Dyke Ave
Shelby Twp, MI 48317-1364
Phone (586) 997-7100
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1193 S Carney Dr
Unit 12
St Clair, MI 48079-5569
Phone (810) 772-4422
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501015517 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
| HQ of St Clair LLC | Physical Therapist | Current | Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
16000 Southfield Rd
Allen Park, MI 48101
Phone (313) 359-8867
485 Columbia Ave E
Ste 10
Battle Creek, MI 49014
Phone (269) 719-8110
15520 19 Mile Rd
Ste 450
Clinton Twp, MI 48038
Phone (586) 416-2000
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
48800 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 997-7100
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
4245 W 14 Mile Rd
Royal Oak, MI 48073
Phone (248) 549-8840
1193 S Carney Dr
Unit 12
St Clair, MI 48079
Phone (810) 772-4422
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 and National Provider Directory roles.
-
- Physical Therapist
- Bloomfield Hills, MI
- NPI 1548932619
-
- Physical Therapist
- Marietta, GA
- NPI 1508538158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1295034213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE",
"address_2": "SUITE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-350-2644",
"fax_number": "586-541-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48800 ROMEO PLANK RD",
"city": "MACOMB",
"state": "MI",
"postal_code": "480442159",
"telephone_number": "586-997-7100",
"fax_number": "586-997-7101"
}
],
"practiceLocations": [
{
"address_1": "50625 Van Dyke Ave",
"address_purpose": "LOCATION",
"city": "Shelby Twp",
"state": "MI",
"postal_code": "483171364",
"country_code": "US",
"telephone_number": "586-997-7100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HRISOULIS",
"first_name": "KATHERINE",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501015517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.