Courtney Pellerito

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303551 Issued in MI

Practice address

24715 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-3207

Phone

(586) 779-2585

Fax

(586) 204-8160

NPI assigned

Oct 11, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Arft Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Orthopedists of Detroit PCGroup PAC ID 3375440134, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtney.arft.1@24034.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4

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.

• Associated Orthopedists of Detroit PC

  • Orthopaedic Surgery Physician
  • St Clair Shores, MI
  • NPI 1083686083

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Associated Orthopedists of Detroit, PC

  • Orthopaedic Surgery Physician
  • Shelby Township, MI
  • NPI 1669653606

  Physical Therapist

  NPD

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1316767742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-2585",
            "fax_number": "586-204-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLERITO",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "ARFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Ann Peabody, RPH
• Emma Peck
• Rikki Pedersen
• Joel L Pelavin, M.D.,P.C.
• Benedict P. Pellerito, M.D.
• Christine Ann Peltier
• Stephanie Penner, PTA
• Katrina M Peplinski, LLMSW
• Perfect Smile Dental P.C.
• Rebecca Periard, RN

• Physical Therapist in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.