Individual provider Active NPI

Cynthia Catherine Schares, DPT

  • Physical Therapist
  • Milford, MI
National Provider Identifier
1295974871
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013260 Issued in MI
Practice address
1501 N Milford Rd Ste 201
Milford, MI 48381-1049
Phone
(248) 676-0666
NPI assigned
Feb 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018363 IL
Physical Therapist 225100000X 5501013260 MI Primary

Addresses

Primary practice location

1501 N Milford Rd Ste 201
Milford, MI 48381-1049

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (219) 844-8100

Other practice location 1

7443 Indianapolis Blvd
Hammond, IN 46324-2909
Phone (219) 844-8100

Other identifiers 3

IdentifierTypeStateIssuer
ON45090OtherMIMEDICARE GRP PTAN
P01054132OtherILMEDICARE RAILROAD
5501013260OtherMISTATE LICENSE NUMBER

Other names 1

  • Cynthia Catherine Gillam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, TX, NM, MO5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20090313000294 MI Practitioner - Physical Therapist in Private Practice 0547326720 Reassigns benefits to 1 organization
I20230525002551 OH Practitioner - Physical Therapist in Private Practice 0547326720 Reassigns benefits to 1 organization
I20230908000026 TX Practitioner - Physical Therapist in Private Practice 0547326720 Reassigns benefits to 1 organization
I20231002002774 NM Practitioner - Physical Therapist in Private Practice 0547326720 Reassigns benefits to 1 organization
I20231220001867 MO Practitioner - Physical Therapist in Private Practice 0547326720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bloomfield Physical TherapyGroup PAC ID 2264763598, 11 clinicians

Practice addresses (Care Compare)

Delaware, OH 43015
Phone (785) 367-2353

10242 Coors Bypass NW
Suite 1038
Albuquerque, NM 87114-4088
Phone (785) 367-2353

4310 SE Healthcliff Dr
Tecumseh, KS 66542-9736
Phone (785) 313-0803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013260MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Nov 4, 2024 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

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

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1295974871",
    "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": "219-844-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MILFORD RD STE 201",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811049",
            "telephone_number": "248-676-0666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7443 Indianapolis Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463242909",
            "country_code": "US",
            "telephone_number": "219-844-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHARES",
        "first_name": "CYNTHIA",
        "middle_name": "CATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018363",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP PTAN",
            "identifier": "ON45090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01054132",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5501013260",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "GILLAM",
            "middle_name": "CATHERINE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.