Active NPI
Michael W Trombley, PT
- Physical Therapist
- Saint Clair Shores, MI
National Provider Identifier
1306939319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010041
- Practice address
- 25311 Little Mack Ave
Suite a
Saint Clair Shores, MI 48081-3370 - Phone
- (586) 771-4900
- Fax
- (586) 771-4993
- NPI assigned
- Oct 2, 2006
- Last updated
- Jun 16, 2026
- 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 | 5501010041 | MI | Primary |
Addresses
Primary practice location
25311 Little Mack Ave
Suite a
Saint Clair Shores, MI 48081-3370
Mailing address
33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65-0-E0-1707-0 | Other | MI | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501010041 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Connection Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1548932619
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- Physical Therapist
- Riverview, MI
- NPI 1659446359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1306939319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25311 LITTLE MACK AVE",
"address_2": "SUITE A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480813370",
"telephone_number": "586-771-4900",
"fax_number": "586-771-4993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLEY",
"first_name": "MICHAEL",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "65-0-E0-1707-0",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.