Individual provider Active NPI

Karen Lorraine Sorbo-Gangola, PT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1306805718
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004317 Issued in MI
Practice address
141 Hampton Cir
Rochester Hills, MI 48307-4103
Phone
(248) 853-7555
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501004317 MI Primary

Addresses

Primary practice location

141 Hampton Cir
Rochester Hills, MI 48307-4103

Mailing address

141 Hampton Cir
Rochester Hills, MI 48307-4103
Phone (248) 853-7555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000147 MI Practitioner - Physical Therapist in Private Practice 5294638433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 W Big Beaver Rd
150 Michigan Institute
Troy, MI 48084-3552
Phone (877) 784-3667

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates PC CurrentSince May 17, 2022 Accepting new patients
University Neurosurgical Associates, PC CurrentSince May 17, 2022 Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

1500 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 649-2323

Interoperability endpoints

  • Direct secure messaging: karen.sorbogangolapt.p1@direct.mhsineuro.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1306805718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HAMPTON CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074103",
            "telephone_number": "248-853-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HAMPTON CIR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074103",
            "telephone_number": "248-853-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORBO-GANGOLA",
        "first_name": "KAREN",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.