NPIMap

Organization Active NPI

Michigan Healthcare Professionals, P.C.

  • Physical Therapist
  • Dearborn, MI
National Provider Identifier
1316757446
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MICHIGAN HEALTHCARE PROFESSIONALS, P.C.
Practice address
1213 Mason St
Dearborn, MI 48124-2841
Phone
(313) 572-7771
Fax
(313) 572-7484
NPI assigned
Jan 10, 2025
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHIGAN HEALTHCARE PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Kristie Grimmett, ADMIN
Title
Credentialing Specialist
Phone
(248) 780-6615

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Sports Physical Therapist 2251S0007X NU

Addresses

Primary practice location

1213 Mason St
Dearborn, MI 48124-2841

Mailing address

29992 Northwestern Hwy Ste C
Farmington Hills, MI 48334-3292

Other practice location 1

29750 Ecorse Rd
Romulus, MI 48174-3528
Phone (313) 572-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111109000027 MI Part B Supplier - Clinic/Group Practice 0345413258 Receives reassigned benefits from 868 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Michigan Healthcare Prof PC29 organizations share this tax ID, including this one
Part of
Michigan Healthcare Prof PC

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

6815 Dixie Hwy
Ste 3
Clarkston, MI 48346
Phone (248) 384-8300

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1316757446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29992 NORTHWESTERN HWY STE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MASON ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242841",
            "telephone_number": "313-572-7771",
            "fax_number": "313-572-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29750 Ecorse Rd",
            "address_purpose": "LOCATION",
            "city": "Romulus",
            "state": "MI",
            "postal_code": "481743528",
            "country_code": "US",
            "telephone_number": "313-572-7771",
            "fax_number": "313-572-7484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHIGAN HEALTHCARE PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN HEALTHCARE PROFESSIONALS, P.C.",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "GRIMMETT",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "248-780-6615",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.