Individual provider Active NPI

Margaret Gorman, PT

  • Physical Therapist
  • Fenton, MI
National Provider Identifier
1326588013
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018064 Issued in MI
Practice address
400 Rounds Dr
Fenton, MI 48430-1724
Phone
(810) 750-1996
Fax
(810) 750-6361
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 5501018064 MI Primary

Addresses

Primary practice location

400 Rounds Dr
Fenton, MI 48430-1724

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170403000997 MI Practitioner - Physical Therapist in Private Practice 1355626425 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Truwell Physical Therapy LLCGroup PAC ID 2860886587, 7 clinicians

Practice addresses (Care Compare)

2655 E Oakley Park Rd
Commerce Township, MI 48390-1684
Phone (248) 716-1819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018064MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Feb 20, 2017 Accepting new patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Aug 25, 2020 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Feb 20, 2017 Accepting new patients
Truwell Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2022 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

740 W Grand River Ave
Brighton, MI 48116
Phone (810) 227-3588

7600 Grand River Rd
Ste 175
Brighton, MI 48114
Phone (810) 306-2626

2655 E Oakley Park Rd
Commerce Township, MI 48390
Phone (248) 363-8430

33566 W 8 Mile Rd
Ste A
Farmington Hills, MI 48335
Phone (248) 478-7330

400 Rounds Dr
Fenton, MI 48430
Phone (810) 629-0530

7559 36th Ave
Hudsonville, MI 49426
Phone (616) 369-0440

3751 S State Rd
Ionia, MI 48846
Phone (616) 522-0066

319 S Bridge St
Linden, MI 48451
Phone (810) 735-0010

135 S Milford Rd
Ste 307
Milford, MI 48381

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

17783 Haggerty Rd
Northville, MI 48168
Phone (248) 675-1875

26850 Providence Pkwy
Ste 365
Novi, MI 48374
Phone (248) 380-3550

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

204 W Upton Ave
Reed City, MI 49677
Phone (231) 465-4289

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

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

Organizations & group practices 4

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1326588013",
    "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": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUNDS DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301724",
            "telephone_number": "810-750-1996",
            "fax_number": "810-750-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "MARGARET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.